EKG Interpretation (WPW, delta waves?) 56k... meh.

[MSDeltaFlt]

http://www.ecglibrary.com/af_chb.html

I believe this is what Rid and I are talking about. I've seen them with flutter waves. There can also be A-Fib pattern as well.

 

[Ridryder911]

Thanks, those are hard to come by... or they are usually misdiagnosed. The problem is that because they are in A-fib and have a A/V disassociation, just placing a ventricular pacer in will not correct the rhythm, A/V sequential pacer may surpass to ablate the A-fib.

R/r 911

 

[mikeylikesit]

well since the P waves are stacked with he t wave but maintain a constant interval i am going to say that on the first strip you have either an MAT or a WAR. on the last strip they look like a ventricular escape beat or a fib.

 

[mikeylikesit]

and just for the record this is V flutter.

and this is A flutter.

 

[Ridryder911]

V-flutter which by the way looks very similar to CPR artifact, is actually sometimes called course v-fib as well. It has to do with if the patient is perfusing or not. Most likely not.

Again, emphasis should be upon treating the patient not the monitor, as well since all morphologies of v-tach (pulseless) is really v-fib.

R/r 911

 

[mikeylikesit]

yes i agree, it is very hard for me or anyone i know to distinguish the two, that is why like you said we treat the patient first and not the monitor.