File:E342.jpg: Difference between revisions

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Description	This is a recording from an older man in the surgical intensive care unit. He was recovering from a motor vehicle accident where he sustained a chest injury from his seat belt. The rhythm is sinus rhythm with a prolonged p wave duration in lead III( >140ms) and a pronounced terminal negativity in V1 suggtestive of left atrial abnormality. The QRS is wide with a duration of 137ms and a superior and right ward axis. There is an Rsr' in V1 ahd the S wave is greater than the R in V6. This is an unusual pattern for aberrance and is more in keeping with ventricular ectopy. In this case thought this appears to be a right bundle branch block with a possible left posterior hemi-block. Of note, in spite of this conduction disturbance the patient was able to sustain reentrant supraventricular tachycaridas requiring intravenous adenosine for termination.
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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Vertical resolution	72 dpi
Software used	Adobe Photoshop CS5 Windows
File change date and time	07:08, 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	15:08, 21 February 2012
Unique ID of original document	4856E29C11D40F15A9CCD45DD9942DDA
Copyright status	Copyright status not set

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+== Summary ==
+{{Information
+|Description = This is a recording from an older man in the surgical intensive care unit. He was recovering from a motor vehicle accident where he sustained a chest injury from his seat belt.
+The rhythm is sinus rhythm with a prolonged p wave duration in lead III( >140ms) and a pronounced terminal negativity in V1 suggtestive of left atrial abnormality. The QRS is wide with a duration of 137ms and a superior and right ward axis. There is an Rsr' in V1 ahd the S wave is greater than the R in V6. This is an unusual pattern for aberrance and is more in keeping with ventricular ectopy. In this case thought this appears to be a right bundle branch block with a possible left posterior hemi-block.
+Of note, in spite of this conduction disturbance the patient was able to sustain reentrant supraventricular tachycaridas requiring intravenous adenosine for termination.
+|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
+}}