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ECG Abnormalities_Part 16

Friday, November 26, 2010

An 87 year old male with a history of coronary artery disease has the below ECG:

What is the Abnormality?

ECG ANSWER

The ECG findings include:

1) Normal sinus rhythm with first degree AV block
2) Right bundle branch block (RBBB)
3) Left anterior fascicular block (LAFB or left anterior hemiblock or LAHB)
4) PVC


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14 Responses to ECG Abnormalities_Part 16

  1. TIRUHI Says:
  2. SINUS RITM, RBBB, VPC, INFERIOR MI

     
  3. Anonymous Says:
  4. 1st degree AV block , lbbb , ventricular prem. beats

     
  5. Anonymous Says:
  6. ST elevation in II, II, aVF; isolated PVCs;

    Sinus rhythm, Inferior wall MI, isolated PVCs, LBBB

     
  7. Anonymous Says:
  8. lbbb with occasional ectopics,jnctnl

     
  9. Anonymous Says:
  10. LBB ,ST elevation in II.III.avf(INFERIOR MI)

     
  11. Anonymous Says:
  12. what about hyperkalemi?

     
  13. Anonymous Says:
  14. LBBB

     
  15. Anonymous Says:
  16. SR with PAC's and one PVC, 1st degree AVB, LVH, Pathological Left Axis Deviation and a RBBB which is a Bifascicular block. STEMI in the Inferior leads (since a RBBB maintains a normal ST segment) with reciprocal ST depression in the lateral leads. 15 lead EKG is indicated. With a bifascicular block in the presence of chest pains = PUT THE PACER PADS ON NOW AND BE READY FOR A CHB.

     
  17. Anonymous Says:
  18. mi? hyperkalemia

     
  19. Anonymous Says:
  20. old inferior wall MI represented by Q waves in II, III , avF and reinfarct in inf wall represented by ST elevation and acute upright T waves, along with Ventricular rhythm represented by Broad QRS complex and AV unsynchronization (3rd degreee block)

     
  21. Anonymous Says:
  22. I agree with the anonymous writer above about the inferior STEMI, and additionally with reciprocal changes in the lateral wall. What I do not agree with is the second part of the interpretation. 3rd degree AVB? Clearly, there are P waves infront of every QRS complexes (except for the one PVC and 2 PAC's)with a set PRI of approximately 220ms (1st degree AVB). If I am mistaken, please point out the mistake so I may learn.

     
  23. Le Son Says:
  24. Completed Left Bundle Branch Block
    Multifocal Premature Ventricular Complexes
    Pathological Q in DII, DIII, aVF ---> Previous inferior IM

     
  25. Le Son Says:
  26. This patient needs ICD.

     
  27. Anonymous Says:
  28. 1st degree AVB maybe right but not clearly...

     

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