Thursday, August 17, 2017

Tenoretic Induced Junctional Rhythm

A 57 year old with complaints of weakness, dizziness, and palpations.  Past medical history of TIA and hypertension.  Thinking the medication was "not working," the patient decided to double the dose of the daily dose of Atenolol-Chlorthaladone 50-25 (Tenoretic).  He was admitted with bradycardia and hypotension.  The following rhythms were present upon admission.  He appears to have some initial sinus beats with some AV dissociation and a junctional rhythm with retrograde P waves.

For more information, read the interesting discussion in Dr Smith's ECG Blog:    http://hqmeded-ecg.blogspot.com/2013/05/another-interpretation-of-last-rhythm.html and the ECG Guru Blog: ECG Basics: Junctional Rhythm. https://ecgguru.com/ecg/ecg-basics-junctional-rhythm




Monday, August 14, 2017

Basic EKG Test 71


01. Identify the following rhythm.


02. Identify the following rhythm.

03. Identify the following rhythm.

04. Identify the following rhythm.

05. Identify the following rhythm.

06. Identify the following rhythm.

07. Identify the following rhythm.

08. Identify the following rhythm.

09. Identify the following rhythm.
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10. Identify the following rhythm.

11 Identify the following rhythm.

12. Identify the following rhythm.

13. Identify the following rhythm.

14. Identify the following rhythm.

15. Identify the following rhythm.

16. Identify the following rhythm.

17. Identify the following rhythm.

18. Identify the following rhythm.

19. Identify the following rhythm.

20. Identify the following rhythm.

21. Identify the following rhythm.

22. Identify the following rhythm.

23. Identify the following rhythm.

24. Identify the following rhythm.

25. Identify the following rhythm.







Answers
01. Sinus bradycardia with bigeminal PVCs
02. Normal sinus rhythm
03. 2nd degree heart block type I
04. Atrial paced
05. Sinus bradycardia with a 1st degree block
06. Torsades de pointes
07. Asystole
08. Ventricular paced with failure to pace
09. First degree block
10. Atrial flutter
11. Sinus bradycardia with an exit block
12. Complete heart block
13. Sinus tachycardia
14. Ventricular paced
15. Ventricular tachycarda
16. Atrial fibrillation
17. Demand ventricular pacing
18. 2nd degree heart block type I
19. AV Pacing
20. Sinus arrhythmia
21. Ventricular fibrillation
22. Sinus rhythm with unifocal PVCs
23. Biventricular pacing
24. Ventricular paced with failure to capture
25. Supraventicular tachycardia