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Stepwise interpretation of ECG - #3 no Dx ID659

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Stepwise interpretation of ECG - #3 no Dx ID659

  1. 1. Stepwise interpretation of ECG ID 619
  2. 2. ID 619 68 year old man in the Emergency Department after an accidental fall
  3. 3. ID 619 68 year old man in the Emergency Department after an accidental fall Can you see P waves?
  4. 4. ID 619 – Sinus rhythm with frequent premature ventricular complexes Yes – There is sinus rhythm, rate 100/min, with frequent premature ventricular complexes
  5. 5. ID619 - Sinus rhythm with frequent premature ventricular complexes The PR interval is normal – There is no left or right atrial enlargement
  6. 6. ID619 - Sinus rhythm with frequent premature ventricular complexes The PR interval is normal – There is no left or right atrial enlargement
  7. 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. 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. 9. ID619 - Sinus rhythm with frequent premature ventricular complexes There is no evidence of right or left ventricular hypertrophy
  10. 10. ID619 - Sinus rhythm with frequent premature ventricular complexes There are no QRS signs of myocardial infarction
  11. 11. ID619 - Sinus rhythm with frequent premature ventricular complexes The ST segment and T waves are normal
  12. 12. ID619 – Final diagnosis: Sinus rhythm with frequent premature ventricular complexes Otherwise, a normal ECG The ST segment and T waves are normal

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