Just Plain Ruff Posted February 26, 2011 Share Posted February 26, 2011 For our medic students: What is this rhythm interpretation? Rate: Rhythm: Regular, irregular PR Interval: QRS: yes or no P waves: Yes or no I will try to post one per day or every few days. I have over 300 to choose from. I have multiple 12 leads to post also. Hope this helps out those in medic school and those who have been active in the field for a while. I still have issues on trying to upload from photobucket so I hope this one works. ECG 1 Link to comment Share on other sites More sharing options...
FireMedic65 Posted February 27, 2011 Share Posted February 27, 2011 It might also help if the students were to explain why the ECG is doing what it is doing. Link to comment Share on other sites More sharing options...
LegendaryPunk Posted March 9, 2011 Share Posted March 9, 2011 Bookmarked - this is a great idea! We are just about to start cardiology in my paramedic class, and I've been told the only way to get proficient at reading ECG's is to go over them again, and again, and again... So I can't really contribute to this topic yet but hopefully in couple weeks that will change. Link to comment Share on other sites More sharing options...
Aprz Posted March 18, 2011 Share Posted March 18, 2011 What is this rhythm interpretation? Atrial bigeminy Rate: 80 Rhythm: Regularly irregular PR Interval: PRi=0.12s QRS: Yes P waves: Yes What makes me second guess myself is that I don't really see a P' for the complex that follows sinus, and then the t-wave that follows the second complex looks like it has a P' prime in it and the ventricles couldn't depolarize it for it. I decided to go against saying junctional bigeminy because I didn't see retrograde p-waves. I'll await feedback. :\ Link to comment Share on other sites More sharing options...
Aprz Posted March 18, 2011 Share Posted March 18, 2011 I couldn't find an edit button so sorry for double posting, but I decided to change my mind to junctional bigeminy. It doesn't need a retrograde p-wave. Like I noted earlier, it looks like there is a P' on top of the t-wave, and there isn't enough time for the ventricles to repolarize. Sorry, that's my final answer. Link to comment Share on other sites More sharing options...
Aprz Posted March 18, 2011 Share Posted March 18, 2011 Forgive me. I would be very grateful if a moderator could remove/edit my posts. Haha! Evertime I think about this more, it bugs me to double/triple post (thankfully I see no rule against that, but it's the whole forum etiquette thing) and then I keep thinking of something new with this ECG. I am changing my mind to junctional trigeminy because there are two p-waves for every PJC. It tricked me cause I thought of each complex as a couplet. Link to comment Share on other sites More sharing options...
LegendaryPunk Posted March 24, 2011 Share Posted March 24, 2011 Rhythm: Regularly irregular Rate: 80, using 6-second method P waves: Present, signifying atrial depolarization; premature P waves look similar, signfying that ectopic beats are originating from the same location in the atria PR Interval: 0.12-0.14 (a little difficult to count because so small) QRS: Present, narrow, follows every P wave, signifying depolarization from upper chambers of the heart My guess is bigeminal PACs. Not positive about this though as I can't really discern the P wave from the T wave. Link to comment Share on other sites More sharing options...
P_Instructor Posted March 24, 2011 Share Posted March 24, 2011 Quick look makes me think of a Mobitz Type II. Link to comment Share on other sites More sharing options...
FireMedic65 Posted March 24, 2011 Share Posted March 24, 2011 Quick look makes me think of a Mobitz Type II. I disagree, I see a QRS for each P wave. Link to comment Share on other sites More sharing options...
P_Instructor Posted March 24, 2011 Share Posted March 24, 2011 I disagree, I see a QRS for each P wave. There are P waves in the T waves. Accelerated 2nd degree Mobitz Type II (Classical). There are more P's than QRS's. Regularly irregular...... Link to comment Share on other sites More sharing options...
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