Answer DV Case 4: Difference between revisions
Jump to navigation
Jump to search
no edit summary
m (→Answers) |
No edit summary |
||
| (3 intermediate revisions by one other user not shown) | |||
| Line 1: | Line 1: | ||
{{Case| | {{Case| | ||
|previouspage= | |previouspage= DV_Case_3 | ||
|previousname= | |previousname= DVA Case 3 | ||
|nextpage= | |nextpage= DV_Case_5 | ||
|nextname= | |nextname= DVA Case 5 | ||
}} | }} | ||
[[Image:DVA0004.jpg|700px|thumb|left|DV Case 4. Click on image for enlargement.]] | [[Image:DVA0004.jpg|700px|thumb|left|DV Case 4. Click on image for enlargement.]] | ||
| Line 19: | Line 19: | ||
# The cause of the pauses in the atrial rhythm are atrial premature beats, blocking the exit of the atrial prevailing atrial rhythms. These [[Atrial_Premature_Complexes|atrial premature beats]] can be appreciated when looking at the T-waves of the conducted beats preceding the pause. | # The cause of the pauses in the atrial rhythm are atrial premature beats, blocking the exit of the atrial prevailing atrial rhythms. These [[Atrial_Premature_Complexes|atrial premature beats]] can be appreciated when looking at the T-waves of the conducted beats preceding the pause. | ||
# This question cannot be answered on this ECG. Pacing could be indicated as the patient has dizzy spells. However, blocked atrial beats per se are no pacemaker indication. | # This question cannot be answered on this ECG. Pacing could be indicated as the patient has dizzy spells. However, blocked atrial beats per se are no pacemaker indication. | ||
# The proper workup could be: | # The proper workup could be: | ||
##stopping medication that lowers the sinus node frequency (B-blockers, funny current blockers, calcium channel blockers) | |||
##a long term ECG recording. | |||
##measuring the sinus node recovery time is questionable. | |||