Thank you to Jason for the invite to post on this site. If you don;t know me, I am the creator of Paramedicine 101. I am a paramedic with Lee County FL and an EMS educator with the local college. I will drop by here to provide interesting ECGs from time to time. This is one from the Paramedicine 101 archive.
As you arrive, the patient is sitting on the ground. She states that she felt weak, so she sat down. She did not lose consciousness and appears atraumatic.
S - Feels weak
A - PCN
M - Atenolol, Lasix, ASA
P - She thinks she may have had a "mild heart attack" in the past, HTN.
L - Coffee
E - She has not done any strenuous activity. She is at home, and was heading to the kitchen.
No chest pain, mild dyspnea with exertion.
12-Lead:
Please provide your impressions.
the ECG shows heart rate of 103 with 2:1 A-V block. Atrial rate is 206 which suggests automatic atrial tachycardia or may be non-isthmus dependent atrial flutter. There is also LBBB.
ReplyDeletewhat we have on ECG it's can be 2 av block tipe 2 2:1 or 3 av block but that not so importent the most importent is the patiant how she feel and how she look and now what we do now I open O2 IV line and pacemaker in Stand buy and arive to ICCU
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