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