I had a patient this evening and I'd like to run it by the panel for a differential dx.
Pt is a 61 y/o f/m, c/c of weakness, feeling cold and shaking, general malaise and shortness of breath.
HxC/C pt was enjoying spectating a sporting event at onset of symptoms
Baseline Vitals:
Pulse 78, Resps 12, SpO2 90% (room air), BP 156/90, BGL 11.8 mmol/L, 3-Lead ECG showed normal sinus
PMHx: MI in 1994, history of unknown arrhythmia, previous stomach cancer, insulin dependent diabetic. Pt is pharmaceutically gifted and could not provide details.
Vitals q5 mins Pulse 140, Resps 10, SpO2 96% (o2 @ 4 Lpm), BP 160/100, BGL 13.0 mmol/L, 3-Lead ECG showed atrial tachycardia
The patient continued to go in and out of the atrial tachycardia. It is important to note that the ECG had a lot of artifact and was only 3-lead so it is hardly diagnostic. Having looked at some sample ECG's online I'm second guessing my original interpretation of the tracing.I'm thinking now it might have been more characteristic of hypokalemia. There was a diminished T wave, prominent U wave and ST-segment depression. I wish I was able to provide a copy of the tracing but I forgot to grab it before I left work.
Thoughts?
Pt is a 61 y/o f/m, c/c of weakness, feeling cold and shaking, general malaise and shortness of breath.
HxC/C pt was enjoying spectating a sporting event at onset of symptoms
Baseline Vitals:
Pulse 78, Resps 12, SpO2 90% (room air), BP 156/90, BGL 11.8 mmol/L, 3-Lead ECG showed normal sinus
PMHx: MI in 1994, history of unknown arrhythmia, previous stomach cancer, insulin dependent diabetic. Pt is pharmaceutically gifted and could not provide details.
Vitals q5 mins Pulse 140, Resps 10, SpO2 96% (o2 @ 4 Lpm), BP 160/100, BGL 13.0 mmol/L, 3-Lead ECG showed atrial tachycardia
The patient continued to go in and out of the atrial tachycardia. It is important to note that the ECG had a lot of artifact and was only 3-lead so it is hardly diagnostic. Having looked at some sample ECG's online I'm second guessing my original interpretation of the tracing.I'm thinking now it might have been more characteristic of hypokalemia. There was a diminished T wave, prominent U wave and ST-segment depression. I wish I was able to provide a copy of the tracing but I forgot to grab it before I left work.
Thoughts?
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