Jump to content

Recommended Posts

Ignoring the first half complex...

Complex 1, 2, and 3 are equal in duration.

The distance between complex 4, and 5 is the same as between 2, and 4

Complexes 5, 6, and 7 are equal in duration, but longer than complexes 1, 2, and 3

Can't see any pattern to complexes 8, 9, 10, 11, or 12

No discernable p-waves (anything which may be assumed to be P-waves are not repeated subsequently in a similar morphology) narrow QRS, and irregular rhythm which possibly, just possibly, has a degree of repitition to it, though no apparent predictable trends are noticeable. Otherwise, irregularly irregular.

A-fib till proven otherwise

Link to post
Share on other sites
  • Replies 23
  • Created
  • Last Reply

Top Posters In This Topic

The rule I think has been the hardest for me to accept is basically that any irregular rythm with no p-waves and basically normal QRS is afib. Until I caved in I missed similiar EKG's on multiple exams. Definitly try to get a longer strip and eliminate artifact if possible, but for exam purposes most books etc I have seen will call similiar afib. Sorry not more help.

Link to post
Share on other sites

What's that saying, that if you show a strip to 5 different cardiologists, you'll get 6 different answers... :mrgreen:

Added: My first inclination was to call it A-fib...but it is regularly irregular. Maybe controlled? My guess would be maybe some a-fib/flutter with a block of some sort. If you look between the first 1/2 beat and the first full one, there are 3 little bumps that could be flutter waves? It occurs again between beats 4 and 5, but then there are 5 bumps. [s:5230eb3d5a]Maybe the Pt's pleasure... :shock[/s:5230eb3d5a]: HPV?

Link to post
Share on other sites

I think the idea of flutter with fib as well is probably the best option with the given strip.

I think the moral of the story is that this isn't the best example of a-fib to put in an "introduction to rhythm interpretation" booklet. :)

Link to post
Share on other sites
  • 3 weeks later...

Irregular, no P waves...AF. I agree with turning up the gain in case P waves could be hidden, but sort of doubt it.

Link to post
Share on other sites
This thread is quite old. Please consider starting a new thread rather than reviving this one.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


×
×
  • Create New...