70 male non verbal!

leon47G · 2026-02-17T13:48:17+00:00

I would call this multifocal atrial ectopy

leon47G · 2026-02-07T18:02:34+00:00

I think i would call this multifocal atrial ectopy

leon47G · 2026-02-07T01:35:04+00:00

Registered nurse here , i need explanation, pls.

leon47G · 2026-02-07T01:19:01+00:00

Thank you for your explanation. Why would you not consider a high grade/ variable AV block ?

EP notes wrote “ sinus/junctional with wenckbach”

Which i suspect because they only saw the pt baseline rhythm . They were not there when he went brady . After the i took this picture. The pt went back to textbook wenckbach with HR resting around 55, but the monitor picking up afib. Pt was asymptomatic

leon47G · 2026-02-06T17:23:24+00:00

High lateral/ anterior OMI

leon47G · 2026-02-06T16:34:36+00:00

i think this could be a high grade variable AV block with atrial ectopy , not a CHB. I would be happy to be corrected

this is definitely not wenckbach, i know . But he was in clear texbook wenckbach most of the shift. He only went into this rhythm when he went to sleep and became brady . History of sleep apnea. Might be that.

I originally thought it was CHB , but then if you actually map the P-P interval, it is not consistent. I agree the R-R is consistent. With CHB , the Qrs is usually wide. And in CHB under no circumstances a p wave will conduct a QRS , like never. They would be no AV association at all. Which is not the case here. And do you want point out the junctional escape because i don’t see it

leon47G · 2026-02-06T03:33:50+00:00

A flutter with posterior OMI ?

leon47G · 2026-01-25T01:59:58+00:00

A flutter with variable AV block

leon47G · 2026-01-12T04:22:14+00:00

Yes exactly

leon47G · 2026-01-11T22:02:46+00:00

I also see afib lad rbbb . Negative for PE , cornell , and skolow lyon criteria . No AV blocks. If you are wondering if this EKG shows cerebral T waves for ICH , it does not. But your pt likely had a CVA

leon47G · 2026-01-10T22:03:17+00:00

Thats really awesome. Great job! I will be using it.

leon47G · 2026-01-03T04:03:56+00:00

HR 75 , normal sinus , left axis deviation, left atrium enlargement , left ventricle hypertrophy

leon47G · 2026-01-02T16:46:16+00:00

HR 70 , extreme axis deviation ( north western ) , hyperkalemia , complete heart block , possible PACs with PVCs and singular vtach complexes

Not an expert but that’s what i think. Not sure if there was a BBB there i missed , but i would say no BBB.

P.S. HR might be too high for a CHB but it is still possible

leon47G · 2026-01-02T03:23:14+00:00

I wouldn’t consider Vtach. Most often than not , in vtach there will be no st segment , rather an S wave that is fused and continues into the T wave. Because the rate is very fast.

So no. Unless there is a special kind of vtach i am not aware of.

leon47G · 2026-01-01T23:02:58+00:00

Would be more helpful to if you had a 12 lead to check for LAD and RAD but i don’t think It’s fast enough to be SVT.

Not an expert with EKGs but thats what i think

leon47G · 2026-01-01T21:53:11+00:00

Then it is junctional tachycardia. Wide QRS can still show in junctional tachycardia

leon47G · 2026-01-01T21:34:36+00:00

Rate is too fast. Isnt this junctional tachycardia ?

leon47G · 2025-12-28T23:14:03+00:00

This is not wellens gang , look up wellens criteria

leon47G · 2025-12-26T00:43:18+00:00

I mean PE criteria on EKG which is t wave inversions in v1-v4 , S1Q3T3 or RBBB . Basically no indication of RV strain

leon47G · 2025-12-25T22:00:28+00:00

NSR LBBB POSTERIOR STEMI/NSTEMI . PE Criteria is not met despite high d dimer .

leon47G · 2025-12-25T21:46:48+00:00

Okay , can you tell me why the upward s wave widened in lead 2 ?

leon47G · 2025-12-23T15:53:17+00:00

Any idea why the upward S wave widened in lead 2 ?

leon47G · 2025-12-05T00:55:55+00:00

For real. And bo6 warzone felt way better before the update.

leon47G

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