Interesting ECG's/Holter
Sinus rhythm with prolonged PR interval.
I called this phenomenon the Little Prince Effect, based on the famous book of Antoine de Saint-Exupéry where the snake ate an elephant. The shape of the T wave looks similar to that draw. "Not all that glitters is gold". |
ECG in a 64 years old male.
ECG showed Sinus bradycardia with ST-T abnormalities (negative T waves) and intermittent partial intraventricular conduction delay (most likely LAFB morphology) Comments: prolonged PR noted during sinus bradycardia, ? borderline first degree A-V block, ? first degree A-V block, ? normal for rate? |
ECG in a 43 years old female.
ECG showed Sinus rhythm followed by a 15 beat run of accelerated idioventricular rhythm. (Fifth QRS = fusion beat)
ECG showed Sinus rhythm followed by a 15 beat run of accelerated idioventricular rhythm. (Fifth QRS = fusion beat)
ECG in a 72 years old female
ECG showed: atrial fibrillation with controlled ventricular response, one ventricular premature beat followed by a ventricular standstill (7.8s) continuing with a junctional escape rhythm (with retrograde conduction, one P wave noted "sinus beat captured") and then re initiate atrial fibrillation. |
Holter in a 85 years old
1- Sinus rhythm with a ventricular premature beat, followed by a run of accelerated idio-ventricular rhythm. (Ventricular rate approximately 75bpm). 2- Ventricular polymorphic ventricular premature beats (One ventricular triplet and one ventricular couplet). Ventricular trigeminy noted on rhythm strip. 3- Atrial tachycardia noted with one blocked atrial premature beat. At least 2 different P wave morphologies were noted. One 1.7s pause noted before resetting to sinus bradycardia. |