Axis Deviation | Figure 1

Axis Deviation

84 y/o Male with a recent (within 2 week) cath for a STEMI. Complaining of acute intermittent palpitations and generalized weakness. Rhythm during transport consisted of mostly ectopic beats (PVC’s, PAC’s, PJC’s). Significant right axis deviation was found and during transport, pt began to have couplets, triplets, and runs of PVC’s. Treated with a 150mg Amiodarone drip over 10 minutes during transport. Pt had no symptom changes en route and no episodes of palpitations during transport.