Friday, October 28, 2016

Sinus Rhythm with Runs of Paroxysmal Atrial Tachycardia

Sinus rhythm with runs of paroxysmal atrial tachycardia.  Notice the change in the morphology of the P waves.




Monday, October 24, 2016

Acute MI

Acute MI:
ST elevation, consider anterolateral injury or acute infarct
ST elevation, consider inferior injury or acute infarct

Should we consider a posterior wall MI?


Friday, October 21, 2016

Wide Complex Tachycardia Changing to VT.

Wide Complex Tachycardia Changing to VT.    These three consecutive pages are on the same patient.  The patient had an underlying wide QRS complex.  You can see a transition in the morphology of the QRS complexes.  This was enough to suggest VT.




 
 

 

Thursday, October 20, 2016

Wide Complex Tachycardia

Wide Complex Tachycardia.  The pages are on the same pages.  The first page shows the underlying sinus rhythm so you can evaluate the QRS complexes.  The second page shows the same patient with a faster heart rate, around 150 bpm  The morphology of the QRS complexes is the same as the underlying rhythm seen on the first page.  Without knowing the underlying rhythm it would be easy to confuse the fast rhythm for VT.


 

Sunday, October 16, 2016

Atrial Fibrillation with Ventricular Escape Beats

Atrial Fibrillation with Ventricular Escape Beats.  These are two consecutive pages on the same patient.  She was in an atrial fibrillation with slow ventricular response.   She began having some runs of this ventricular escape rhythm. 



 

Saturday, October 15, 2016

Run of Ventricular tachycardia

Run of Ventricular tachycardia.  These are consecutive pages of a patient with a long run of VT.  It begins with what looks like an accelerated idioventricular rhythm which progresses to VT.  The rhythm spontaneously resolves and he returns to sinus rhythm.

 
 

Monday, October 10, 2016

Sinus Rhythm with a Run of Ventricular Tachycardia

Sinus Rhythm with a Run of Ventricular Tachycardia.  These two consecutive pages are from the same patient who had a long run of VT



 

Saturday, October 8, 2016

Ventricular paced with a run of VT

Ventricular paced with a run of VT:  Complexes 1-5 are ventricular paced.  These are followed by an 8 beat run of VT.  A pause follows the run of VT and an fusion beat is seen.  The last two complexes are native or intrinsic beats.



 

Friday, October 7, 2016

First degree block with a run of polymorphic VT

Sinus rhythm with first degree block with a run of polymorphic VT.  Complexes 1 - 6 show a first degree block.  Complex 7 is an isolated PVC.  This is followed by a paced fusion beat.  During the run of VT another paced fusion beat is seen. 

 

Thursday, October 6, 2016

Sinus rhythm with a run of VT

Sinus rhythm with a run of VT:  The two pages are a continuation of the same run of VT