File:E338.jpg: Difference between revisions

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Description	This is an electrocardiogram from an 82 year old man with a history of lung disease and renal failure. At the time of this recording the patient was on Iron, Lasix, and bronchodilators. The EKG shows a regular rhythm at a rate of 141/min. This patient had been in atrial fibrillation in the past and the rhythm here is probably atrial flutter with 2:1 block although no flutter waves are seen. The QRS duration is widened at 105 ms and the tall R waves in V5 and S waves in V1 and V2 and the ST depression in the absence of digoxin suggest left ventricular hypertrophy. The QRS is too narrow for ventricular tachycardia and the brief R wave in V2 with the clean down-stroke of the V2 S wave argue against a ventricular origin. The patient was placed on digoxin with a slowing of the ventricular rate and a rhythm that was clearly atrial fibrillation and with a QRS with the same morphology.
Category	Case reports by Michael Rosengarten
Source	EKG World Encyclopedia http://cme.med.mcgill.ca/php/index.php , courtesy of Michael Rosengarten BEng, MD.McGill
Date	2012
Author	Michael Rosengarten BEng, MD.McGill
Permission	Creative Commons Attribution Noncommercial Share-Alike License

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Camera manufacturer	HP
Camera model	HP Scanjet G3110
Date and time of data generation	23:31, 2 May 2009
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Number of components	3
Horizontal resolution	72 dpi
Vertical resolution	72 dpi
Software used	Adobe Photoshop CS5 Windows
File change date and time	07:04, 21 February 2012
Y and C positioning	Co-sited
Pair of black and white reference values	0 255 128 255 128 255
Exif version	2.2
Meaning of each component	Y Cb Cr does not exist
Supported Flashpix version	1
Color space	sRGB
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Date and time of digitizing	23:31, 2 May 2009
Date metadata was last modified	15:04, 21 February 2012
Unique ID of original document	4856E29C11D40F15A9CCD45DD9942DDA
Copyright status	Copyright status not set

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+== Summary ==
+{{Information
+|Description = This is an electrocardiogram from an 82 year old man with a history of lung disease and renal failure. At the time of this recording the patient was on Iron, Lasix, and bronchodilators.
+The EKG shows a regular rhythm at a rate of 141/min. This patient had been in atrial fibrillation in the past and the rhythm here is probably atrial flutter with 2:1 block although no flutter waves are seen. The QRS duration is widened at 105 ms and the tall R waves in V5 and S waves in V1 and V2 and the ST depression in the absence of digoxin suggest left ventricular hypertrophy. The QRS is too narrow for ventricular tachycardia and the brief R wave in V2 with the clean down-stroke of the V2 S wave argue against a ventricular origin. The patient was placed on digoxin with a slowing of the ventricular rate and a rhythm that was clearly atrial fibrillation and with a QRS with the same morphology.
+|Category = [[Case_reports_from_Michael_Rosengarten|Case reports by Michael Rosengarten]]
+|Source = EKG World Encyclopedia http://cme.med.mcgill.ca/php/index.php , courtesy of Michael Rosengarten BEng, MD.McGill
+|Date = 2012
+|Author = Michael Rosengarten BEng, MD.McGill
+|Permission = {{by-nc-sa-3.0}}
+|other_versions = None
+}}