Case 100: Difference between revisions

173 bytes added ,  29 November 2007
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Look at the consecutive ECGs in this patient. What is the problem?
Look at the consecutive ECGs in this patient. What is the problem that causes the arrhythmia in rhythm strip 2?
[[Image:KJcasu17-1.jpg|thumb|300px|left| Rhythm strip 1]]
[[Image:KJcasu17-1.jpg|thumb| Rhythm strip 1]]
{{clr}}
{{clr}}
[[Image:KJcasu17-2.jpg|thumb|300px|left| Rhythm strip 2]]
[[Image:KJcasu17-2.jpg|thumb| Rhythm strip 2]]
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{{clr}}
[[Image:KJcasu17-3.jpg|thumb|300px|left| Rhythm strip 3]]
[[Image:KJcasu17-3.jpg|thumb| Rhythm strip 3]]
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[[Image:KJcasu17-4.jpg|thumb|300px|left| Rhythm strip 4]]
[[Image:KJcasu17-4.jpg|thumb| Rhythm strip 4]]
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* The first rhythm strip shows sinusrhythm with a severely prolonged QT interval. In total four ventricular premature beats are present on this strip. All fall within the T wave of the previous sinus beat.
* The first rhythm strip shows sinusrhythm with a severely prolonged QT interval. In total four ventricular premature beats are present on this strip. All fall within the T wave of the previous sinus beat.
* The second strip shows [[Torsade de Pointes]] with a typical short (not shown) - long - short initial sequence.
* The second strip shows [[Torsade de Pointes]] with a typical short (not shown) - long - short initial sequence.
* The  
* The third ECG shows severe QT prolongation with a stretched QT segment and small T wave, consistent with Type 2 [[LQTS]].
* The fourth ECG shows the same patient later in time.


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