qrs/st segment practice tracings
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QRS/ST Segment Practice Tracings. Nick Sparacino, DO. 78 y/o female with UTI. Bonus ?: where is the borderline 1 st degree av block located?. 78 y/o female with UTI. Large S in inferior leads + >-45 degree axis = LAFB. RsR’ pattern in frontal leads (V1/V2) = RBBB. Bifascicular block. +. - PowerPoint PPT PresentationTRANSCRIPT
QRS/ST Segment Practice Tracings
Nick Sparacino, DO
78 y/o female with UTI
Bonus ?: where is the borderline 1st degree av block located?
78 y/o female with UTI
Large S in inferior leads + >-45 degree
axis = LAFB
RsR’ pattern in frontal leads (V1/V2)
= RBBB
=+ Bifascicular block
65 y/o male with inferoposterior MI 6 years ago
65 y/o male with inferoposterior MI 6 years ago
RsR’ pattern in frontal leads (V1/V2) = RBBB
qR pattern in II, III, aVF = LPFB
+ Bifascicular Block=
48 y/o male on dialysis
48 y/o male w/ htn on dialysis, no cardiac symptoms
Depressed, inverted T waves progressing laterally + large (-) deflection in V1 p wave + history of dialysis and htn = most likely LVH
82 y/o female with a fib, ICM, EF 20%,now with subacute increase in
fatigue, sob, edema
82 y/o female with a fib, ICM, EF 20%,now with subacute increase in
fatigue, sob, edema
Dig effect -> depressed lateral ST, inverted lateral T. History of a fib and ischemic cmo make dig a likely drug
68 y/o male with left chest pain, TIMI 5, trop (-) x 2
68 y/o male with left chest pain, TIMI 6, trop (-) x 2
Biphasic ST-T’s in V2/V3, progressively more flattened laterally in high risk pt with negative trop = worry about Wellens!
35 y/o f 1 year sob, severe GERD
Tall R in frontal leads, ST depresseion in frontal leads, large S in lateral leads =RVH tall peaked P in II denotes RAH, demonstrating chronic/severe
RVH. With history of GERD, consider primary pulm hypertension with scleroderma spectrum disease
35 y/o f 1 year sob, severe GERD