Interesting EKG. Elderly male patient with history of Afib. | Figure 1
Interesting EKG. Elderly male patient with history of Afib. Afib with junctional escape rhythm, left anterior Fascicular block, possible 3rd degree AV block or high-grade second degree AV block, Bifascicular-block.
More about this case
Resolved Common presentation
Why you should join Figure 1
- Share your knowledge with our global community of healthcare professionals
- Get help from experts in your field
- Learn from our library of real-world cases and quizzes
Similar cases
Is this atrial flutter or third degree AV block? Female, 81 yo with syncopal episode.
65 y/o woman with no symptoms. Routine EKG shown here has non-specific T wave abnormalities. What rhythm abnormalities does it show?
- Sinoatrial node block.
- First degree AV node block.
- Second degree AV node block, type I.
- Second degree AV node block, type II.
- Third degree AV node block.
Third degree AV block, new inferior wall and anterior wall myocardial infarction, complete right bundle branch block.
3rd degree AV block! With junctional escape rhythm.
Trending now
A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.
A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.
A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.
Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?