I want to know some oppinions on what this rhythm is.
CC: Resp. Diff. - 86 y/o F.
Clearly it is A-Fib with a rapid ventricular response. From what I can see, the QRS interval is within normal limits, that and your axis is normal which rules out a left bundle branch block with aberant conduction. The best thing I can come up with based on what I can see is A-Fib with a rapid ventricular response and left ventricular hypertrophy. The hypertrophy would present with inverted ST segements, especially in AvL, V-5, V-6,, which your strip has. I don't see anything malignant here other than the rate.
This scared me at first
in Patient Care
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Clearly it is A-Fib with a rapid ventricular response. From what I can see, the QRS interval is within normal limits, that and your axis is normal which rules out a left bundle branch block with aberant conduction. The best thing I can come up with based on what I can see is A-Fib with a rapid ventricular response and left ventricular hypertrophy. The hypertrophy would present with inverted ST segements, especially in AvL, V-5, V-6,, which your strip has. I don't see anything malignant here other than the rate.