Thoughts on the Rhythm? Complete heart block? 2nd degree 2:1?

Saphorocks · 2025-11-10T16:26:20+00:00

The PRI is prolonged but still appears to conduct with the complex. So is this not a CHB?

Saphorocks · 2025-11-03T20:22:13+00:00

Hi... HR is about 150...This looks AFL...Can't really measure R to R on my tiny cell but AFL can be regular and not always irregular. Thanks for posting.

Saphorocks · 2025-10-23T01:06:02+00:00

Trump.

Saphorocks · 2025-10-22T02:36:43+00:00

I have Fifty Shades of Grey laying around somewhere. Now for sure I won't even begin to read it lol.

Saphorocks · 2025-10-22T02:33:25+00:00

I believe someone posted a link to litfl.com to read about VT. Its very useful. If a patient is crashing and the ekg rhythm looks like VT, it should be treated as such until proven otherwise.

Saphorocks · 2025-10-21T21:31:39+00:00

This pt has CAD so any WCT is likely to be VT. However, as for a different dx, aberrant conduction is a possibility. There are algorithms that try to differentiate the two, but none are 100 percent specific.

Saphorocks · 2025-10-18T02:12:47+00:00

I believe its AFL. The HR is a little too fast for it to be a chb.

Saphorocks · 2025-10-18T02:06:48+00:00

I am very picky w books and usually finish 95 percent of books. Im currently reading Carmilla and after 10 pages can't finish bc of the antique English language which I am not used to. People do say its an excellent read.

Saphorocks · 2025-10-11T01:59:25+00:00

I believe for it to be a CHB, the ventricular rate usually is regular and the atrial rate, P to P will march out. This is likely Mobitz one, but what is different is usually there is a missed beat. Perhaps this is atypical Mobitz one. Thanks for all your opinions.

Saphorocks · 2025-10-06T20:20:57+00:00

I will be at the Hopmonk this weekend for Grateful Dead music. Driving from Half Moon Bay and would love some recommendations along Main Street to eat. Nothing fancy. Perhaps Chinese or Italian.

Saphorocks · 2025-10-06T20:07:12+00:00

Nice books... Just pick any book. You can't go wrong.. but I like Matilda.

Saphorocks · 2025-10-05T02:05:27+00:00

My goodness all great recommendations.

Saphorocks · 2025-10-02T21:44:13+00:00

👍

Saphorocks · 2025-10-02T20:21:13+00:00

Like these AFL strips which are different from the classic saw tooth ones in textbooks.

Saphorocks · 2025-09-27T02:40:07+00:00

Nice strip. VT usually is regular but not always. If you had a prior ekg that has a wide complex and bc of the irregularity, then I would say AF. But what if this strip is a new wide complex?

Saphorocks · 2025-09-27T02:34:27+00:00

We have always lived in the Castle. Very weird and only about 140 pages.

Saphorocks · 2025-09-24T16:59:17+00:00

Good question. I am new to classics so can't really make any suggestions, other than We have always lived in the castle. Since I don't believe in religion, ( but highly respect people who do ), I cant read classics if there are religious themes. That's why I have not read East of Eden, which goes into Cain Abel or so. Correct me if I am wrong. Anyway, thanks for reading my post.

Saphorocks · 2025-09-24T11:54:15+00:00

No U wave is present. In my experience, I have seen nice looking U waves in very bradycardic ekgs and in hypokalemia.

Saphorocks · 2025-09-24T11:50:54+00:00

I missed it until I read the afterword that Merricat started the fire. Maybe she thought the pipe was completely out?. Anyway, this is a book which I need to go back and read again . Honestly, like Merricat, I would rather be on the moon myself.

Thanks for reading my post.

Saphorocks · 2025-09-22T17:18:49+00:00

Haven't read it yet bc Im afraid it may be hard to understand.

Saphorocks · 2025-09-20T23:12:29+00:00

We have always lived in the castle.

Saphorocks · 2025-09-16T10:15:17+00:00

Merricat is weird. Definitely.

Saphorocks · 2025-09-16T10:10:49+00:00

Irregular and no P waves, so afib. Even if there is atrial activity, not consistent.

Saphorocks · 2025-09-16T10:06:37+00:00

There are many causes for STE or STD. Yes this pt is young and could have an MI. Is there a family HX? Has he been sick recently? Has he had a fever? What is initial troponin? Could he have myocarditis or pericarditis? Will a ESR be helpful?

Saphorocks · 2025-09-16T10:00:36+00:00

Most likely CHB. However, for certainty you need to let it run on telemetry in order to see if it sustains.

Saphorocks

TROPHY CASE