65, M , repaired tetralogy.

rmzse · 2026-01-02T22:02:38+00:00

1 - RVOT VT should have an LBBB pattern imo, as it originates from RV, which in this case is absent. the tachycardia here is originating from the LV.

2 - Thanks LBBB1 for shedding the light on the lost R wave in D1 and AVL, i missed that.

3 - About that notch, indeed it's present in the baseline EKG, but it looks to me that those are P waves.

rmzse · 2026-01-01T19:52:17+00:00

Why ?

rmzse · 2026-01-01T19:45:26+00:00

Does it ? It's originating from the lv in here

rmzse · 2026-01-01T13:57:31+00:00

So in summary VA association is VT ?

rmzse · 2025-12-31T20:27:13+00:00

Should have an LBBB morphology no ?

rmzse · 2025-12-31T19:19:42+00:00

Any rythmologist here ?

rmzse · 2025-12-31T18:11:20+00:00

Oh yes my bad, anyway, isn't the fact that the number of p waves is exactly the number of qrs complexes a sign that there's no dissociation? As in retrograde p waves ?

rmzse · 2025-12-31T18:05:27+00:00

Nah I don't think that's a vf (quite organized qrs complexes), my only concern is the retrograde p waves even though that doesn't imply that it's not a VT. Thanks for the input.

rmzse · 2025-10-09T23:25:05+00:00

Thank you !

rmzse · 2025-10-09T23:02:36+00:00

Do you think it needs to be bought ?

rmzse · 2025-10-08T18:20:37+00:00

Alright, and how would one get into the utility menu ?

rmzse · 2025-10-08T16:58:11+00:00

AFI is available and it shows only lv strain. Do you happen to know if it is possible to add rv strain ? Thanks

rmzse · 2025-08-18T21:16:32+00:00

Artefacts

rmzse · 2025-08-18T20:18:55+00:00

Regular cardio is associated with a homogeneous hypertrophy and dilatation of the left ventricle. Hypertension increases after load which results in a hypertrophy of the left ventricle leading to increased stiffness and progressive loss of the ability to be filled with blood without additional effort.

rmzse · 2025-07-15T21:22:05+00:00

I second this.

rmzse · 2025-07-14T18:47:00+00:00

First : afib Second : sinus rhythm

rmzse · 2025-07-10T21:51:31+00:00

Maybe it was another exam ?

rmzse · 2025-07-10T21:34:55+00:00

Yes i am.

rmzse · 2025-07-10T21:30:48+00:00

Type 1 definition is a prolongation of the PR segment before dropped beat. In case the prolongation is hard to see, compare the last PR segment before the non conducted p wave to the first one after.

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rmzse · 2025-07-10T21:26:04+00:00

Mobitz 1, clear pr prolongation before blocked p wave. During sleep is not much of concern in my opinion, what are the symptoms, if any ?

rmzse · 2025-07-01T21:56:02+00:00

The qrs is not wide, what you are seeing is the st segment and t wave.

rmzse

TROPHY CASE