ECG of the Week – 29th October 2018 – Interpretation

This ECG is from an 81 yr old female who presented complaining of intermittent chest pain and dysponea. She has a history of T2DM, hypertension and asthma.


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Rate:

  • Ventricular rate 48 bpm
  • Atrial rate 94 bpm

Rhythm:

  • 2 : 1 AV Block

Axis:

  • LAD

Intervals:

  • PR – Normal when associated with QRS
  • QRS – Prolonged (130ms)

Additional:

  • Voltage criteria LVH aVL >11m

Interpretation:

  • 2:1 AV Block

What happened ?

The patient was admitted and underwent an uneventful PPM insertion.

References / Further Reading

Life in the Fast Lane

Textbook

  • Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.

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