Need help 2 lead interpretation

[Dima]

I have a question about the following 2 lead ecg strip. If you guys know a decent ECG forum for medics for this type of questions I would greatly appreciate the information. So this ecg strip from a 80 y/o female c/o abdo pain. I believe it's a NRS with occasional runs of atrial flutter. Let me know what you think plz

 

[PotatoMedic]

Looks like aflutter

 

[Handsome Robb]

Looks like someone needs to sit still.


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[cprted]

I agree there are moments where it looks a little sawtoothesque ... however the quality of the tracing is terrible. Until I saw a clean tracing, and preferably a 12 lead, I'd be reluctant to call it an A Flutter. Given the irregularity, I'm more inclined to suggest an uncontrolled afib at 120.

 

[StCEMT]

I agree there are moments where it looks a little sawtoothesque ... however the quality of the tracing is terrible. Until I saw a clean tracing, and preferably a 12 lead, I'd be reluctant to call it an A Flutter. Given the irregularity, I'm more inclined to suggest an uncontrolled afib at 120.

A flutter with variable block?

 

[medichopeful]

I'd call it A-Fib with RVR, periods of A-Flutter, and artifact.

 

[Underoath87]

That could all just be artifact.

 

[Gurby]

Does the patient have Parkinson's?

 

[NomadicMedic]

It's obviously afib if you compare the pleth waveform to the ecg tracing. The baseline is artifact laden.

 

[hometownmedic5]

The complexes are definitely irregular, so afib is the most likely culprit.

Before I got all worked up about the baseline goings on between the complexes, I would want a tracing free of artifact and a 12ld. Without the rest of the clinical picture, I'm disinclined to offer further comment on potential treatment and complications.

 

[Pond Life]

Atrial Fibrillation - irregularly irregular