Submitted by Dawn on Sun, 03/10/2013 - 01:13
This is a good ECG for demonstrating sinus brady and first-degree AV block. It shows the sinus node in the process of slowing down. For your more advanced students, there is left axis deviation due to left anterior fascicular block (left anterior hemiblock). The ST segments are flat, suggesting coronary artery disease. The fourth (bottom) channel is a good rhythm strip. Just crop the image. Please refer to Dr. Grauer's interesting post on teaching hemiblocks on our Ask The Expert page.
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Sooo Many Findings! - Brady, Changing PR, LAHB, Abnl ST-T Waves
As one who teaches ECG/Arrhythmia interpretation - I often prefer not knowing the clinical scenario associated with a given tracing - because I can then make up my own scenarios to best fit my teaching goals for the situation at hand. So I'm happy Dawn omitted any clinical information on this tracing.
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There are multiple instructive aspects to this tracing. Starting with the Rhythm: Address your attention first solely to the long Lead II Rhythm Strip at the bottom of the tracing.
Ken Grauer, MD www.kg-ekgpress.com [email protected]
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