File:E341.jpg
Original file (3,004 × 1,599 pixels, file size: 4.47 MB, MIME type: image/jpeg)
Summary
| 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. This recording was done after the administration of adenosine intravenously. This is an interesting cardiogram that shows the termination of a wide complex tachycardia with adenosine. The axis of the EKG is rightward and the QRS is wide at 130ms. Termination with adenosine suggests that this is a supraventricular arrhythmia that is reentrant. Note that the tacycardia slows before it terminates. The termination of the tachycardia is followed by a sinus node arrest and multiple ventricular escape beats. The first pair of beats after the termination of the tachycardia are probably an escape ventricular beat followed by a single echo beat. The second to last beat to the right is the only clear sinus beat. This patient had a bifasicular block in sinus rhythm. |
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| Category | |
| 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 |
File history
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| Date/Time | Thumbnail | Dimensions | User | Comment | |
|---|---|---|---|---|---|
| current | 10:51, 21 February 2012 | | 3,004 × 1,599 (4.47 MB) | DarrelC (talk | contribs) |
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