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This is an electrocardiogram from a man in his 80's. The patient has severe lung disease, has mitral regurgitation secondary to bacterial endocarditis , and is taking digoxin, Lasix and potassium.
The electrocardiogram shows sinus rhythm and a QRS with a left axis deviation, a QRS duration of 118 milliseconds and a tall are wave in the first precordial lead V1 with an R wave height of approximately 21 mm. The prolonged QRS duration and the S waves that are seen as lead one and lead the six suggest a right on the Branch block and the a left axis deviation suggests a left anterior hemi-block . Finally the tall R wave in V1 lead suggests right to ventricular Hypertrophic.
EKG World Encyclopedia http://cme.med.mcgill.ca/php/index.php , courtesy of Michael Rosengarten BEng, MD.McGill
Michael Rosengarten BEng, MD.McGill
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|current||10:10, 21 February 2012||3,004 × 1,599 (4.47 MB)||DarrelC|
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