We had a lively discussion about this rhythm. 87 yo M Hx COP | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

Some actions are only available when you log in.

We had a lively discussion about this rhythm. 87 yo M Hx COPD CAD HTN DM presented to clinic with complaint of n/v, malaise. No CP, no SOB, A&Ox4. Low pulse prompted EKG and admit to ICU. Watched for 18 hrs or so on dopamine and then got a shiny new pacemaker. So, what rhythm is this?

Why you should join Figure 1

Similar cases



I have not personally seen this type of EKG rhythm before so good learning experience for me, strictly reading the EKG what do you see? (This is not new for the pt) they were seen for CHF exacerbation](https://app.figure1.com/case-detail/0f904d13-632d-47e0-b266-4e9a34c9385e)



Looking for some opinions on above 12 lead for my learning. 88 YOM palliative CCF and Renal failure. Syncope at home. I don't have a picture of a longer tracing but in the hour+ transport rhythm remained regular with no identifiable P-Waves. With regularised AF at a rate of 60 I am thinking: AF with complete heart block, junctional escape rhythm. However QRS is wide, but too fast for ventricular escape. So finally came to AF with complete heart block with junctional escape rhythm and ? LBBB ? I have not encountered this before so just looking to see if I'm on the right track. Not prescribed Digoxin.](https://app.figure1.com/case-detail/46b1aae6-6052-449c-a935-413276c3ab2d)



rhythm?](https://app.figure1.com/case-detail/877d0aaf-202d-4894-934e-1c634e4fced2)



What's the rhythm](https://app.figure1.com/case-detail/b96b8408-695e-4210-ab32-811cdac8aea9)

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.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



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.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



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.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



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?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)