ECG Guru - Instructor Resources - Electronic Wenckebach https://www.ecgguru.com/ecg/electronic-wenckebach en Jason's Blog: ECG Challenge of the Week for Sept. 2-9. https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-sept-2-9 <div class="field field-name-field-blog-image field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><a href="/blog/jasons-blog-ecg-challenge-week-sept-2-9"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%201k%20answer.png" width="765" height="514" alt="" /></a></div></div></div><div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p>&nbsp;</p> <p><strong style="mso-bidi-font-weight: normal;"><span style="text-decoration: underline;"><span style="font-size: 11.0pt; line-height: 115%; font-family: 'Calibri','sans-serif'; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">Patient’s clinical data:</span></span></strong><span style="font-size: 11.0pt; line-height: 115%; font-family: 'Calibri','sans-serif'; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;"><span style="mso-spacerun: yes;">&nbsp; </span>78-year-old white man.<span style="mso-spacerun: yes;">&nbsp; </span>History of MI, severe CAD, CHF, LBBB, EF 10-15%, complex ventricular ectopy, SVT, and NSVT.<span style="mso-spacerun: yes;">&nbsp; </span><br> <br> <strong style="mso-bidi-font-weight: normal;"><span style="text-decoration: underline;">Questions: </span></strong><br> (1.)<span style="mso-spacerun: yes;">&nbsp; </span>Based on the patient’s pertinent past medical history as well as the QRS morphology and polarity in lead V1, what kind of implanted device does he have?<br> (2.)<span style="mso-spacerun: yes;">&nbsp; </span>What is the underlying rhythm and which is the best (<em style="mso-bidi-font-style: normal;">or only</em>) lead for determining this?<br> (3.)<span style="mso-spacerun: yes;">&nbsp; </span>Is the device behaving normally and functioning properly or is it failing to sense (e.g., oversensing or undersensing)?<br> (4.)<span style="mso-spacerun: yes;">&nbsp; </span>What is causing this bigeminal pattern of paired beats?</span></p> </div></div></div><div class="field field-name-field-rate-this-content field-type-fivestar field-label-above"><div class="field-label">Rate this content:&nbsp;</div><div class="field-items"><div class="field-item even"><form class="fivestar-widget" action="/taxonomy/term/198/feed" method="post" id="fivestar-custom-widget" accept-charset="UTF-8"><div><div class="clearfix fivestar-average-text fivestar-average-stars fivestar-form-item fivestar-hearts"><div class="form-item form-type-fivestar form-item-vote"> <div class="form-item form-type-select form-item-vote"> <select id="edit-vote--2" name="vote" class="form-select"><option value="-">Select rating</option><option value="20">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Sept. 2-9. 1/5</option><option value="40">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Sept. 2-9. 2/5</option><option value="60">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Sept. 2-9. 3/5</option><option value="80">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Sept. 2-9. 4/5</option><option value="100" selected="selected">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Sept. 2-9. 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >5</span></span> <span class="total-votes">(<span >1</span> vote)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-e4CEoSoY1sTvzInvTvawkxQXFlu3BChMBXb33BYV7-M" /> <input type="hidden" name="form_id" value="fivestar_custom_widget" /> </div></form></div></div></div><ul class="links inline"><li class="addtoany first last"><span><span class="a2a_kit a2a_target addtoany_list" id="da2a_1"> <a class="a2a_dd addtoany_share_save" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ecgguru.com%2Fblog%2Fjasons-blog-ecg-challenge-week-sept-2-9&amp;title=Jason%27s%20Blog%3A%20ECG%20Challenge%20of%20the%20Week%20for%20Sept.%202-9."><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> <script type="text/javascript"> <!--//--><![CDATA[//><!-- if(window.da2a)da2a.script_load(); //--><!]]> </script></span></li> </ul> Sun, 02 Sep 2012 01:44:45 +0000 jer5150 322 at https://www.ecgguru.com https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-sept-2-9#comments