ECG #4 - ID 383 – Atrial fibrillation
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ECG #4 - ID 383 – Atrial fibrillation

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ECG #4 - ID 383 – Atrial fibrillation Presentation Transcript

  • 1. Stepwise interpretation of ECG ID 383 –Atrial fibrillation
  • 2. ID 383 – 76 year old woman in her family doctor’s office
  • 3. Can you see P waves? ID 383 – 76 year old woman in her family doctor’s office
  • 4. There are no P waves. There are fibrillatory waves that vary in size and shape. The ventricular rhythm is irregularly irregular (atrial fibrillation) – The rate is 66/min ID 383 – 76 year old woman in her family doctor’s office
  • 5. Let’s now look at the QRS complexes: There is normal QRS axis (between 0 and 90 degrees) ID 383 – 76 year old woman in her family doctor’s office
  • 6. The QRS duration is normal : There is no right bundle branch block, left bundle branch block or non‐specific block ID 383 – 76 year old woman in her family doctor’s office
  • 7. There is no right ventricular hypertrophy or left ventricular hypertrophy ID 383 – 76 year old woman in her family doctor’s office
  • 8. There are no QRS signs of myocardial infarction –There are normal ST segment and normal T waves ID 383 – 76 year old woman in her family doctor’s office
  • 9. ID 383 ID 383 – Final diagnosis: Atrial fibrillation with controlled ventricular rate (66 bpm). No other abnormalities.