Tuesday, September 5, 2017

Sinus Bradycardia with Dropped PAC

The rhythm shows sinus bradycardia.  The 5th beat is quickly followed by a non-conducted PAC (seen better in lead II and III).  The 6th complex is followed by a PAC.  

Friday, September 1, 2017

Runs of AIVR in NSTEMI Patient

A 50 year old with hx of hypertension and cocaine abuse.  Experienced chest pain and self treated pain with more cocaine x 3 days before coming to the ED.  TNI 75, CKMB 277, CPK 1611, BUN 11.3, Creatinine 1.59.  Likely acute kidney injury and rhabdo.  Treated with fluids.  Patient having runs of AIVR.  In lead V1 it looks like some dissociated P waves are present.