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Stepwise interpretation of ECG - #3 no Dx ID659
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Stepwise interpretation of ECG - #3 no Dx ID659

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  • 1. Stepwise interpretation of ECG ID 619
  • 2. ID 619 68 year old man in the Emergency Department after an accidental fall
  • 3. ID 619 68 year old man in the Emergency Department after an accidental fall Can you see P waves?
  • 4. ID 619 – Sinus rhythm with frequent premature ventricular complexes Yes – There is sinus rhythm, rate 100/min, with frequent premature ventricular complexes
  • 5. ID619 - Sinus rhythm with frequent premature ventricular complexes The PR interval is normal – There is no left or right atrial enlargement
  • 6. ID619 - Sinus rhythm with frequent premature ventricular complexes The PR interval is normal – There is no left or right atrial enlargement
  • 7. ID619 - Sinus rhythm with frequent premature ventricular complexes Let’s now look at the QRS complexes: There is normal QRS axis (between O and 90 degrees)
  • 8. ID619 - Sinus rhythm with frequent premature ventricular complexes The QRS complexes that follow the P waves have a normal duration – There is no right bundle branch block, left bundle branch block or non-specific block
  • 9. ID619 - Sinus rhythm with frequent premature ventricular complexes There is no evidence of right or left ventricular hypertrophy
  • 10. ID619 - Sinus rhythm with frequent premature ventricular complexes There are no QRS signs of myocardial infarction
  • 11. ID619 - Sinus rhythm with frequent premature ventricular complexes The ST segment and T waves are normal
  • 12. ID619 – Final diagnosis: Sinus rhythm with frequent premature ventricular complexes Otherwise, a normal ECG The ST segment and T waves are normal