Sublime
LP, RN
- 264
- 6
- 18
A little backstory: This is around 4 months ago, my last night working in the ER. I found these strips under my dresser when I was cleaning my room today. I had saved them to share on here and forgot. So the details of the case are little fuzzy as I don't remember them exactly but I'll do my best. Also in these ECGs some of them would not print correctly so its only a partial 12-lead.
So this is a 52 y/o female who was brought in by EMS with complaint of palpitations. When she arrives she doesn't appear to be in any acute stress. She looks a little worried, but doesn't appear to be pale, in pain, or diaphoretic.
We hook her up to the monitor and her pulse is anywhere from 50 to 170. It will go to a regular rhythm at a rate of 50-70 for about 30 seconds to a minute, sometimes less.... to a tachy rhythm and then it will slow itself down. We watched her do this for a good 10-15 minutes. She kept going back and forth.
Eventually the doc ordered a Brevibloc drip that stopped her from going into the tachy rhythm.
At first I thought it was Afib with RVR, but after watching how regular it was when it was at a slower rate... it seemed the irregularity was coming from intermittent PACs. Sorry couldn't provide more/better pictures. Still not sure what this was.
http://imageshack.us/photo/my-images/9/photo2tbv.jpg/
http://imageshack.us/photo/my-images/607/photo4whr.jpg/
http://img16.imageshack.us/img16/2373/photo5yxf.jpg
So this is a 52 y/o female who was brought in by EMS with complaint of palpitations. When she arrives she doesn't appear to be in any acute stress. She looks a little worried, but doesn't appear to be pale, in pain, or diaphoretic.
We hook her up to the monitor and her pulse is anywhere from 50 to 170. It will go to a regular rhythm at a rate of 50-70 for about 30 seconds to a minute, sometimes less.... to a tachy rhythm and then it will slow itself down. We watched her do this for a good 10-15 minutes. She kept going back and forth.
Eventually the doc ordered a Brevibloc drip that stopped her from going into the tachy rhythm.
At first I thought it was Afib with RVR, but after watching how regular it was when it was at a slower rate... it seemed the irregularity was coming from intermittent PACs. Sorry couldn't provide more/better pictures. Still not sure what this was.
http://imageshack.us/photo/my-images/9/photo2tbv.jpg/
http://imageshack.us/photo/my-images/607/photo4whr.jpg/
http://img16.imageshack.us/img16/2373/photo5yxf.jpg
Last edited by a moderator:
