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Need help 2 lead interpretation

Discussion in 'EMS Talk' started by Dima, Jan 5, 2017.

  1. Dima

    Dima Forum Ride Along

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    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 ecg 1.JPG
     
  2. FireWA1

    FireWA1 Has no idea what I'm doing.

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    Looks like aflutter
     
  3. Handsome Robb

    Handsome Robb Youngin' Premium Member

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    Looks like someone needs to sit still.


    Sent from my iPhone using Tapatalk
     
  4. cprted

    cprted Forum Captain

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    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.
     
    FireWA1 likes this.
  5. StCEMT

    StCEMT Forum Deputy Chief

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    A flutter with variable block?
     
  6. medichopeful

    medichopeful EMT, ED/ICU RN, CEN

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    I'd call it A-Fib with RVR, periods of A-Flutter, and artifact.
     
  7. Underoath87

    Underoath87 Forum Asst. Chief

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    That could all just be artifact.
     
  8. Gurby

    Gurby Forum Asst. Chief

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    Does the patient have Parkinson's?
     
  9. NomadicMedic

    NomadicMedic formerly DEmedic

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    It's obviously afib if you compare the pleth waveform to the ecg tracing. The baseline is artifact laden.
     
  10. hometownmedic5

    hometownmedic5 Forum Captain

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    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.
     
    NomadicMedic likes this.
  11. Pond Life

    Pond Life Forum Crew Member

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    Atrial Fibrillation - irregularly irregular
     

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