PMH: Of similar episodes under investigation by cardiologist, no other relevant medical information.
No observations provided on this p/t, this is just an exercise in 12-lead ECG interpretation…
Here’s a little help from me, please provide your ECG analysis.
Rate:
Atrial: Unable to determine.
Ventricular: 90-160 bpm.
Waves: P waves present: Difficult to identify, best seen in V2-3, appearance is fibrillation pattern, P waves NOT consistent, no relation to QRS, no Q waves present that are pathological, T waves are present with no significant abnormalities.
Intervals: P-R consistent, QRS: 0.16 secs, appearance: rSR’ in V1-2, consistent; QT interval 0.40 secs.
Axis: Quadrant:??? Please give your analysis…J Degrees -80 (aVF and Lead II mostly isoelectic slightly positive.
Hypertrophy: No atrial or ventricular detected.
Other info: Q waves none significant for AMI, no significant elevation, ST depression in V2, no possible drug effects noted.
Afib+WPW? wide complex, irregular tachy.
ReplyDeletePrit says Atrial Fibrillation with also possible LBBB and certainly irregular rates.
ReplyDeletewide complex tach... irregular... RBBB
ReplyDeleteddx: AF+RBBB, AF+WPW, Multifocal atrial tachycardia+RBBB
there is p waves but has different morphology.. no j wave so most propably MFAT+RBBB
thanks for the v.interesting ECG
i think it's an afib with bbb
ReplyDeleteAF+RBBB+LAH
ReplyDeletewide complex tachycardia...AF, RBBB pattern, T wave inversions in V1-3 could be RV strain pattern, prominent S in V5 and V6, LAFB. Thus, AF with RVH, LAFB
ReplyDeleteLBBB(onde M,QRS LARGE)
ReplyDeleteAfib + RBBB
ReplyDeleteMAT + RBBB
ReplyDelete