ECG Guru - Instructor Resources - APB https://www.ecgguru.com/ecg/apb en Jason's Blog: ECG Challenge for the months of July and August, 2014. https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-months-july-and-august-2014 <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-months-july-and-august-2014"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Month%203f%20ladder.png" width="787" height="533" 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>This is an ECG I performed a couple of years ago on an asymptomatic 83-year old man as an outpatient procedure.&nbsp; <br><br>The computer interpreted this as:&nbsp; "Marked sinus bradycardia [with] Frequent Premature ventricular complexes".&nbsp; IS THE COMPUTER CORRECT?&nbsp; Is there more than one plausible interpretation?&nbsp; What is the differential diagnosis?</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/56/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 for the months of July and August, 2014. 1/5</option><option value="40">Give Jason&amp;#039;s Blog: ECG Challenge for the months of July and August, 2014. 2/5</option><option value="60">Give Jason&amp;#039;s Blog: ECG Challenge for the months of July and August, 2014. 3/5</option><option value="80" selected="selected">Give Jason&amp;#039;s Blog: ECG Challenge for the months of July and August, 2014. 4/5</option><option value="100">Give Jason&amp;#039;s Blog: ECG Challenge for the months of July and August, 2014. 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >3.3</span></span> <span class="total-votes">(<span >7</span> votes)</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-WZjCeTdpyDD3AmYBjKtHl0ksgyK9HVEkcYrHbUQnfX8" /> <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-months-july-and-august-2014&amp;title=Jason%27s%20Blog%3A%20ECG%20Challenge%20for%20the%20months%20of%20July%20and%20August%2C%202014."><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> Sat, 05 Jul 2014 17:51:18 +0000 jer5150 585 at https://www.ecgguru.com https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-months-july-and-august-2014#comments Jason's Blog: ECG Challenge for the month of December, 2013. https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-month-december-2013 <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-month-december-2013"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Month%202t%20ladder1.png" width="765" height="509" 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>The only patient data I have is that this ECG is from a 73-year old man.&nbsp; At the request of the site administrator (Dawn Altman), I'm posting this ECG because there isn't one quite like it in the Guru's archives.&nbsp; Some readers will recognize it as one I recently posted on another website.&nbsp; This one lives up to the title of "Challenging".&nbsp; I'll make the same general statement I did on the other website:&nbsp; You'll need to make careful measurements with calipers on this ECG to come to the correct interpretation.</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/56/feed" method="post" id="fivestar-custom-widget--2" 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--4" name="vote" class="form-select"><option value="-">Select rating</option><option value="20">Give Jason&amp;#039;s Blog: ECG Challenge for the month of December, 2013. 1/5</option><option value="40">Give Jason&amp;#039;s Blog: ECG Challenge for the month of December, 2013. 2/5</option><option value="60">Give Jason&amp;#039;s Blog: ECG Challenge for the month of December, 2013. 3/5</option><option value="80" selected="selected">Give Jason&amp;#039;s Blog: ECG Challenge for the month of December, 2013. 4/5</option><option value="100">Give Jason&amp;#039;s Blog: ECG Challenge for the month of December, 2013. 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >4</span></span> <span class="total-votes">(<span >2</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit--2" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-ZpvU3czw6hj-DGLY5xIT6UVTIYQinYcswpr1WRb0Am4" /> <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_2"> <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-month-december-2013&amp;title=Jason%27s%20Blog%3A%20ECG%20Challenge%20for%20the%20month%20of%20December%2C%202013."><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> </span></li> </ul> Sat, 30 Nov 2013 16:34:34 +0000 jer5150 521 at https://www.ecgguru.com https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-month-december-2013#comments Jason's Blog: ECG Challenge for the month of August, 2013. https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-month-august-2013 <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-month-august-2013"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Month%202q%20ladder%20diagram.png" width="765" height="499" 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>Patient of unknown age and gender with a history of atrial fibrillation.&nbsp; What's your interpretation?</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/56/feed" method="post" id="fivestar-custom-widget--3" 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--6" name="vote" class="form-select"><option value="-">Select rating</option><option value="20">Give Jason&amp;#039;s Blog: ECG Challenge for the month of August, 2013. 1/5</option><option value="40">Give Jason&amp;#039;s Blog: ECG Challenge for the month of August, 2013. 2/5</option><option value="60">Give Jason&amp;#039;s Blog: ECG Challenge for the month of August, 2013. 3/5</option><option value="80" selected="selected">Give Jason&amp;#039;s Blog: ECG Challenge for the month of August, 2013. 4/5</option><option value="100">Give Jason&amp;#039;s Blog: ECG Challenge for the month of August, 2013. 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >4</span></span> <span class="total-votes">(<span >6</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit--3" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-FFlBji09sJnrkZpPJJOujQjg2XR5G0eBInLeuR2UXJk" /> <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_3"> <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-month-august-2013&amp;title=Jason%27s%20Blog%3A%20ECG%20Challenge%20for%20the%20month%20of%20August%2C%202013."><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> </span></li> </ul> Wed, 07 Aug 2013 01:25:32 +0000 jer5150 478 at https://www.ecgguru.com https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-month-august-2013#comments Jason's Blog: ECG Challenge of the Week for March 10th - 17th. Mutual mimics https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-march-10th-17th-mutual-mimics <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-march-10th-17th-mutual-mimics"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%202i-a%20ladder.png" width="765" height="599" alt="" /></a></div><div class="field-item odd"><a href="/blog/jasons-blog-ecg-challenge-week-march-10th-17th-mutual-mimics"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%202i-b%20ladder.png" width="765" height="566" 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>These are two 12-lead ECGs that I performed on two <em>completely different</em> patients several years apart.&nbsp; <br><br><span style="text-decoration: underline;"><strong>Patient's clinical data</strong></span> (Top ECG): <br>57-year-old black man <br><br><strong><span style="text-decoration: underline;">Patient's clinical data</span></strong> (Bottom ECG):<br>67-year-old black man<br><br>Are both of these ECGs showing the same rhythmic pattern?</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/56/feed" method="post" id="fivestar-custom-widget--4" 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--8" 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 March 10th - 17th. Mutual mimics 1/5</option><option value="40">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for March 10th - 17th. Mutual mimics 2/5</option><option value="60">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for March 10th - 17th. Mutual mimics 3/5</option><option value="80" selected="selected">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for March 10th - 17th. Mutual mimics 4/5</option><option value="100">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for March 10th - 17th. Mutual mimics 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >3.8</span></span> <span class="total-votes">(<span >5</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit--4" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-0cuvxKf8eqPkVPRbdZ10ncQWFAM5om2qoZPhu7GjPvo" /> <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_4"> <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-march-10th-17th-mutual-mimics&amp;title=Jason%27s%20Blog%3A%20ECG%20Challenge%20of%20the%20Week%20for%20March%2010th%20-%2017th.%20%20Mutual%20mimics"><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> </span></li> </ul> Sat, 09 Mar 2013 16:31:51 +0000 jer5150 412 at https://www.ecgguru.com https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-march-10th-17th-mutual-mimics#comments Jason's Blog: ECG Challenge of the Week for March 3rd - 10th. https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-march-3rd-10th <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-march-3rd-10th"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%202h%20ladder.png" width="765" height="502" 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><span style="text-decoration: underline;"><strong>Patient's clinical data:</strong></span> <br>73-year-old white man. <br><br><br></p> <p>&nbsp;</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/56/feed" method="post" id="fivestar-custom-widget--5" 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--10" 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 March 3rd - 10th. 1/5</option><option value="40">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for March 3rd - 10th. 2/5</option><option value="60">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for March 3rd - 10th. 3/5</option><option value="80" selected="selected">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for March 3rd - 10th. 4/5</option><option value="100">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for March 3rd - 10th. 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >3.8</span></span> <span class="total-votes">(<span >9</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit--5" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-oD8IakMJmIYvmjpU4YXqX5cLZC9N7bZ52T3kTrzPa8o" /> <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_5"> <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-march-3rd-10th&amp;title=Jason%27s%20Blog%3A%20ECG%20Challenge%20of%20the%20Week%20for%20March%203rd%20-%2010th."><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> </span></li> </ul> Sat, 02 Mar 2013 15:51:33 +0000 jer5150 409 at https://www.ecgguru.com https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-march-3rd-10th#comments Jason's Blog: ECG Challenge of the Week for Dec. 23rd - 30th. https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-dec-23rd-30th <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-dec-23rd-30th"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%201y%20answer.png" width="765" height="532" alt="" /></a></div><div class="field-item odd"><a href="/blog/jasons-blog-ecg-challenge-week-dec-23rd-30th"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%201y%20supplimental.png" width="765" height="76" alt="" /></a></div><div class="field-item even"><a href="/blog/jasons-blog-ecg-challenge-week-dec-23rd-30th"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/Rabbit%20ear.png" width="1270" height="730" 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>I performed this ECG earlier this year in an outpatient clinic. <br><br><span style="text-decoration: underline;"><strong>Patient's clinical data:</strong></span>&nbsp; 85-year-old white man; asymptomatic.&nbsp; <br><br><strong><span style="text-decoration: underline;">Questions?</span></strong><br>(1.)&nbsp; What rhythm is this tracing showing?<br>(2.)&nbsp; What clue/sign is used to differentiate between the two anomalous beats (i.e., 4th and 6th beats).&nbsp; HINT:&nbsp; It's named after a part of a certain animal's anatomy.<br><br>** *** NOTE *** **:&nbsp; For the sake of determining QRS morphology and axis, I've also included a simultaneous single-channel rhythm strip of Lead I directly below the 12-lead ECG.&nbsp;</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/56/feed" method="post" id="fivestar-custom-widget--6" 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--12" 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 Dec. 23rd - 30th. 1/5</option><option value="40">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Dec. 23rd - 30th. 2/5</option><option value="60">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Dec. 23rd - 30th. 3/5</option><option value="80" selected="selected">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Dec. 23rd - 30th. 4/5</option><option value="100">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Dec. 23rd - 30th. 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >3.6</span></span> <span class="total-votes">(<span >168</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit--6" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-WDpmKqhr_Lsqpte1AdUO_SdFQPVcM6ga9urCwQZuYBU" /> <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_6"> <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-dec-23rd-30th&amp;title=Jason%27s%20Blog%3A%20ECG%20Challenge%20of%20the%20Week%20for%20Dec.%2023rd%20-%2030th."><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> </span></li> </ul> Sat, 22 Dec 2012 20:08:27 +0000 jer5150 384 at https://www.ecgguru.com https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-dec-23rd-30th#comments Jason's Blog: ECG Challenge of the Week for Nov. 4th - 18th. https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-nov-4th-18th <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-nov-4th-18th"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%201t%20ladder.png" width="765" height="499" alt="" /></a></div><div class="field-item odd"><a href="/blog/jasons-blog-ecg-challenge-week-nov-4th-18th"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%201t%20clue.png" width="769" height="668" 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><span class="userContent">This is a "Routine" resting 12-lead ECG I performed on a patient several months ago in the Outpatient ECG Lab.<br> <br> <span style="text-decoration: underline;"><strong>PATIENT CLINICAL DATA:</strong></span><br> 72-year-old white man; asymptomatic; resting comfortably in recumbent position.<br><br></span><span class="userContent">This is an exercise in "anomalous" beats. <br> <br> <span style="text-decoration: underline;"><strong>QUESTION:</strong></span><br>(1.)&nbsp; Specifically, what are 3rd, 4th, and 10th beats?<br><br>You may wish to review another ECG that I performed I few years ago:&nbsp; <a href="http://www.ekgguru.com/content/sr-ectopy-pac-non-cond-pac-pvc-ventricular-escape-laddergram" target="_blank">http://www.ekgguru.com/content/sr-ectopy-pac-non-cond-pac-pvc-ventricular-escape-laddergram </a><br></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/56/feed" method="post" id="fivestar-custom-widget--7" 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--14" 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 Nov. 4th - 18th. 1/5</option><option value="40">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Nov. 4th - 18th. 2/5</option><option value="60">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Nov. 4th - 18th. 3/5</option><option value="80">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Nov. 4th - 18th. 4/5</option><option value="100" selected="selected">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Nov. 4th - 18th. 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--7" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-arW3CjZ-BvkZtkcfC-4TddNejN4tqwwqgrmRSUqdoKM" /> <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_7"> <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-nov-4th-18th&amp;title=Jason%27s%20Blog%3A%20ECG%20Challenge%20of%20the%20Week%20for%20Nov.%204th%20-%2018th."><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> </span></li> </ul> Sun, 04 Nov 2012 00:46:41 +0000 jer5150 359 at https://www.ecgguru.com https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-nov-4th-18th#comments Jason's Blog: ECG Challenge of the Week for August 19-26. The value of a previous, comparative ECG. https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-august-19-26-value-previous-comparative-ecg <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-august-19-26-value-previous-comparative-ecg"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%201i%20answer.png" width="765" height="1007" 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><span style="text-decoration: underline;"><strong><br><br></strong></span><span style="text-decoration: underline;"><strong>Patient clinical data:</strong></span>&nbsp; 68-year-old black man.<br><br><span style="text-decoration: underline;"><strong>Question:</strong></span> <br>(1.)&nbsp; What "pseudo" clue in Fig. 1 clinches the source of the mechanism seen in Fig. 2?</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/56/feed" method="post" id="fivestar-custom-widget--8" 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--16" 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 August 19-26. The value of a previous, comparative ECG. 1/5</option><option value="40" selected="selected">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for August 19-26. The value of a previous, comparative ECG. 2/5</option><option value="60">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for August 19-26. The value of a previous, comparative ECG. 3/5</option><option value="80">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for August 19-26. The value of a previous, comparative ECG. 4/5</option><option value="100">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for August 19-26. The value of a previous, comparative ECG. 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >1.5</span></span> <span class="total-votes">(<span >2</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit--8" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-8aUcOItXCtZz2HElf2CHPvlf-12gO0wsKFSpypCX604" /> <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_8"> <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-august-19-26-value-previous-comparative-ecg&amp;title=Jason%27s%20Blog%3A%20ECG%20Challenge%20of%20the%20Week%20for%20August%2019-26.%20The%20value%20of%20a%20previous%2C%20comparative%20ECG."><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> </span></li> </ul> Mon, 20 Aug 2012 02:19:18 +0000 jer5150 306 at https://www.ecgguru.com https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-august-19-26-value-previous-comparative-ecg#comments Jason's Blog: ECG Challenge of the Week for July 8-15. Which lead do both of these ECGs share a “common-thread”? https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-july-8-15-which-lead-do-both-these-ecgs-share-%E2%80%9Ccommon-thread%E2%80%9D <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-july-8-15-which-lead-do-both-these-ecgs-share-%E2%80%9Ccommon-thread%E2%80%9D"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%201d.png" width="765" height="835" 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 class="MsoNormal"><span style="font-family: times new roman,times; font-size: medium;"><span style="line-height: 115%;">Two more ECGs classified under the general heading:&nbsp; </span><span style="line-height: 115%;"><em>“Tracing suggestive of &nbsp;&nbsp;____ ”</em></span></span><span style="font-family: times new roman,times; font-size: medium;">.&nbsp; I&nbsp; like ECGs that strongly favor a very specific clinical disorder. </p> <p> </span><span style="font-family: times new roman,times;"><span style="font-size: medium;">Recently I performed these ECGs on two different patients.&nbsp; They were both recorded a little more than an hour apart and exemplified a common electrocardiographic theme I noticed during that work shift.</span><span style="font-size: medium;"></p> <p></span></span><span style="font-size: medium; font-family: times new roman,times;"><span style="line-height: 115%;">The primary goal of this week’s blog is <em>not</em> to determine the name of each ECG’s rhythm but rather what each ECG is virtually diagnostic of.</span></span><span style="font-size: medium;"><span style="line-height: 115%;"></span></span><span style="font-family: times new roman,times; font-size: medium;"><span style="line-height: 115%;"></p> <p></span></span><span style="font-family: times new roman,times;"><span style="font-size: medium;"><span style="line-height: 115%;">This </span></span><span style="font-size: medium;"><span style="line-height: 115%;"><em>sign</em> is commonly referred to by one of two names:&nbsp; (1.)&nbsp; Either by the <em>lead</em> that it appears in or (2.) <em>eponymously</em></span></span><span style="font-size: medium;"><span style="line-height: 115%;"> named after the doctor who is credited with first describing it.</span></span></span><span style="font-family: times new roman,times; font-size: medium;"><span style="line-height: 115%;"> &nbsp; </span></span></p> <p><span style="font-family: times new roman,times;"><span style="font-size: medium;"><span style="line-height: 115%;">To date, the ECG machine's computer is not programmed to recognize this particular sign<strong>/</strong>pattern nor will it make the suggestion to consider this possibile clinical disorder in it's statements printed at the top of ECG</span></span><span style="font-size: medium;"><span style="line-height: 115%;">.&nbsp; Hopefully, in the future, manufacturers of ECG machines will add this algorithm to their computer's diagnostic statements.<br /></span></span></span><span style="font-family: times new roman,times; font-size: medium;"><br /> </span><span style="font-size: medium; font-family: times new roman,times;"><strong><span style="text-decoration: underline;">Patients’ clinical data:</span></strong></span><span style="font-family: times new roman,times; font-size: medium;"><br /> </span></p> <!--[if gte mso 9]><p><xml><br /> <o:OfficeDocumentSettings><br /> <o:RelyOnVML/><br /> <o:AllowPNG/><br /> </o:OfficeDocumentSettings><br /> </xml><![endif]--></p> <!--[if gte mso 9]><p><xml><br /> <w:WordDocument><br /> <w:View>Normal</w:View><br /> <w:Zoom>0</w:Zoom><br /> <w:TrackMoves/><br /> <w:TrackFormatting/><br /> 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Priority="37" Name="Bibliography"/><br /> <w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/><br /> </w:LatentStyles><br /> </xml><![endif]--></p> <!--[if gte mso 10]><style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} </style><p><![endif]--></p> <ul> <li><strong><span style="text-decoration: underline;"><span style="font-size: 12pt; line-height: 115%; font-family: 'Times New Roman','serif'; color: blue;">Fig. 1</span></span></strong><span style="font-family: times new roman,times;"><span style="text-decoration: underline;"><span style="font-size: medium;"><strong><span style="color: blue; text-decoration: underline;"></span></strong></span></span><span style="font-size: medium;">&nbsp;(Top tracing): 61-year-old black man, underweight, active smoker (long history of tobacco abuse), and persistent <em>cough</em>.&nbsp; The challenge for me was to obtain an artifact-free tracing in between coughing fits.&nbsp;</span></span><span style="font-family: times new roman,times;"><span style="font-size: medium;">When asked, this patient<em> </em>denied having this medical condition that his provider had diagnosed him with.</span></span></li> </ul> <ul> <li><strong><span style="text-decoration: underline;"><span style="font-size: 12pt; line-height: 115%; font-family: 'Times New Roman','serif'; color: blue;">Fig. 2</span></span></strong><span style="font-family: times new roman,times;"><span style="text-decoration: underline;"><span style="font-size: medium;"><strong><span style="color: blue; text-decoration: underline;"></span></strong></span></span><span style="font-size: medium;"> (Bottom tracing): 70-year-old white man, active smoker (long history of tobacco abuse).&nbsp; When asked, this patient <em>also</em> denied having this medical condition that his provider had diagnosed him with.</span></span></li> </ul> <p><span style="font-family: times new roman,times;"><span style="font-size: medium;">Personally, I think that a certain degree of denial goes hand-in-hand in this patient population when confronted with their self-destructive vices.<br /></span><span style="font-size: medium;"><br /> </span></span><span style="font-size: medium; font-family: times new roman,times;">So, both men have similar (albeit limited) histories and a similar clue on their ECGs.</span><span style="font-family: times new roman,times;"><span style="font-size: medium;">&nbsp; </span></span><span style="font-size: medium; font-family: times new roman,times;">In each of the two ECGs, there is a single lead where the waveforms look nearly identical.</span><span style="font-family: times new roman,times;"><span style="font-size: medium;"> </span></span><span style="font-family: times new roman,times;"><span style="font-size: medium;"><br /> </span></span></p> <ul> <li><span style="font-family: times new roman,times;"><span style="font-size: medium;"><strong><span style="text-decoration: underline;"><span style="color: #00b050;">Hint # 1:</span></span></strong></span><span style="font-size: medium;">&nbsp; The answer to the clinical disorder is a 4-letter acronym.</span><span style="font-size: medium;"></span></span></li> </ul> <ul> <li><span style="font-family: times new roman,times;"><span style="font-size: medium;"><strong><span style="text-decoration: underline;"><span style="color: #00b050;">Hint # 2:</span></span></strong></span><span style="font-size: medium;">&nbsp; The only thing that superficially mimics this pattern is simultaneously switching the arm cables with their respective leg cables on the same side (i.e., <a href="http://lifeinthefastlane.com/wp-content/uploads/2011/12/bilateral-arm-leg-reversal.jpg" target="_blank">RA reversed with RL <em>and</em></a></span><span style="font-size: medium;"><a href="http://lifeinthefastlane.com/wp-content/uploads/2011/12/bilateral-arm-leg-reversal.jpg" target="_blank"> LA reversed with LL</a>)</span></span></li> </ul> <p><span style="font-family: times new roman,times;"><span style="font-size: medium;"><strong><span style="text-decoration: underline;"><span style="color: red;"> </span></span></strong></span></span><span style="font-family: times new roman,times;"><span style="font-size: medium;"><strong><span style="text-decoration: underline;"><span style="color: red;">Questions:</span></span></strong></span><span style="font-size: medium;"><span style="line-height: 115%;"><br /></span></span></span></p> <ul> <li><span style="font-family: times new roman,times;"><span style="font-size: medium;"><span style="line-height: 115%;">(1.)&nbsp; Which one of the 12 individual leads am I referring to<em> and<strong> . . .</strong></em></span></span></span></li> <li><span style="font-family: times new roman,times;"><span style="font-size: medium;"><span style="line-height: 115%;">(2.)&nbsp; What clinical disorder is that lead a highly specific marker of?</span></span></span><span style="font-family: times new roman,times;"><span style="font-size: medium;"><span style="line-height: 115%;"><br /></span></span></span></li> </ul> </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/56/feed" method="post" id="fivestar-custom-widget--9" 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--18" 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 July 8-15. Which lead do both of these ECGs share a “common-thread”? 1/5</option><option value="40">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for July 8-15. Which lead do both of these ECGs share a “common-thread”? 2/5</option><option value="60" selected="selected">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for July 8-15. Which lead do both of these ECGs share a “common-thread”? 3/5</option><option value="80">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for July 8-15. Which lead do both of these ECGs share a “common-thread”? 4/5</option><option value="100">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for July 8-15. Which lead do both of these ECGs share a “common-thread”? 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >2.8</span></span> <span class="total-votes">(<span >5</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit--9" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-tkuIRZURWfHAQYXarBQ4fP7Ye1z2k6W5L7ODCgeDmOE" /> <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_9"> <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-july-8-15-which-lead-do-both-these-ecgs-share-%25E2%2580%259Ccommon-thread%25E2%2580%259D&amp;title=Jason%27s%20Blog%3A%20ECG%20Challenge%20of%20the%20Week%20for%20July%208-15.%20Which%20lead%20do%20both%20of%20these%20ECGs%20share%20a%20%E2%80%9Ccommon-thread%E2%80%9D%3F"><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> </span></li> </ul> Sun, 08 Jul 2012 00:38:05 +0000 jer5150 246 at https://www.ecgguru.com https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-july-8-15-which-lead-do-both-these-ecgs-share-%E2%80%9Ccommon-thread%E2%80%9D#comments