Update from prior case. The rhythm is sinus, there are mu | Figure 1

Chrisciencia

Internal Medicine

Update from prior case.

The rhythm is sinus, there are multiple PAC (atrial bigeminy) with aberrant intraventricular conduction. Anterior fascicular block, chronic T wave inversions over the lateral leads which are stable.

This is not a case of PVCs, I love this type of cases because they increase the logical thinking and methodic thinking when evaluating EKGs. The first question should be, what is the rhythm, and then figure out the rest.

More about this case

Trending

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

What is the rhythm ? 60yo male admitted due to exacerbated #COPD

Questionable rhythm : Pt in NSR. No changes in PR. Frequent non-conducted PAC normally. First two pictures possible couplet of non-conducted PAC? Third picture at a different time possibly the same? What do you think??

Can anyone tell me what is going on with this rhythm?

ECG after rhythm termination from previous posted case.

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.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back.

A 4-month-old male infant presented with skin lesions localized to the chin.

patient in late teens presenting after a collapse.