Case 100: Difference between revisions

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Look at the consecutive ECGs in this patient. What is the problem that causes the arrhythmia in rhythm strip 2? (Answer below)
{{Case|
[[Image:KJcasu17-1.jpg|thumb| Rhythm strip 1]]
|previouspage= Case 5
|previousname= Case 5
|nextpage= Case 101
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Try to interprete this ECG using the 7+2 step method
Look at the consecutive ECGs in this patient. What is the problem that causes the arrhythmia in rhythm strip 2?  
[[Answer Case 100|Answer]]
{{clr}}
{{clr}}
[[Image:KJcasu17-2.jpg|thumb| Rhythm strip 2]]
[[Image:KJcasu17-1.jpg|thumb|700px|left| Rhythm strip 1]]
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{{clr}}
[[Image:KJcasu17-3.jpg|thumb| Rhythm strip 3]]
[[Image:KJcasu17-2.jpg|thumb|700px|left| Rhythm strip 2]]
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{{clr}}
[[Image:KJcasu17-4.jpg|thumb| Rhythm strip 4]]
[[Image:KJcasu17-3.jpg|thumb|700px|left| Rhythm strip 3]]
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{{clr}}
 
[[Image:KJcasu17-4.jpg|thumb|700px|left| Rhythm strip 4]]
==Answer==
* 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 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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Latest revision as of 15:42, 11 November 2008

This page is part of Cases and Examples

Previous ECG: Case 5 | Next ECG: Case 101

Try to interprete this ECG using the 7+2 step method Look at the consecutive ECGs in this patient. What is the problem that causes the arrhythmia in rhythm strip 2? Answer

Rhythm strip 1


Rhythm strip 2


Rhythm strip 3


Rhythm strip 4