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an Interesting ECG
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an Interesting ECG
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what diagnosis is it for this ECG?
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Forums  »  Open clinical  »  Cardiology  »  an Interesting ECG

an Interesting ECG

posted at 30/7/2011 4:14 PM BST on bmj.com
Posts: 3
First: 30/7/2011
Last: 31/7/2011


what diagnosis is it for this ECG?

Re: an Interesting ECG

posted at 30/7/2011 5:04 PM BST on bmj.com
Posts: 3
First: 30/7/2011
Last: 31/7/2011
plz read this one

Re: an Interesting ECG

posted at 30/7/2011 9:57 PM BST on bmj.com
Posts: 2054
First: 12/3/2010
Last: 23/5/2013
Complete AV block with a variable ventricular rate.

Looks similar to a patient I had with a congenital AV block, who lead a completely normal life.
John

Re: an Interesting ECG

posted at 30/7/2011 10:39 PM BST on bmj.com
Posts: 876
First: 17/6/2011
Last: 22/5/2013
I'm sorry but the ecg is difficult to see. I think it might be narrow complex complete heart block with sinus arrythmia - I think this is called ventriculophasic sinus arryhtmia - can you give us some clinical details?
best,
sadian

Re: an Interesting ECG

posted at 31/7/2011 5:00 PM BST on bmj.com
Posts: 3
First: 30/7/2011
Last: 31/7/2011
I think it is:1.Sinus rhythm2.Complete AV block3.Junctional escape

Re: an Interesting ECG

posted at 1/8/2011 4:46 PM BST on bmj.com
Posts: 876
First: 17/6/2011
Last: 22/5/2013
If it were a junctional escape I would expect the p wave activity rate to be slow - I'm sorry but I can't see the p waves clearly on the image here but i think the p wave rate is faster than that.

Re: an Interesting ECG

posted at 2/8/2011 12:34 AM BST on bmj.com
Posts: 624
First: 13/4/2011
Last: 15/5/2013
I see:

QRSs are narrow, perhaps some apparent variabilty of A-V conduction.

Could be junctional tachycardia with variable A-V block, suggestive of digitalis toxicity?

Re: an Interesting ECG

posted at 19/2/2013 1:38 PM GMT on bmj.com
Posts: 63
First: 21/10/2012
Last: 21/5/2013
In Response to an Interesting ECG:
what diagnosis is it for this ECG?
Posted by xjw4950

Sir,
Looks like AV disassociation.
Dr.Chidambaran

Re: an Interesting ECG

posted at 19/2/2013 1:43 PM GMT on bmj.com
Posts: 63
First: 21/10/2012
Last: 21/5/2013
In Response to Re: an Interesting ECG:
plz read this one
Posted by xjw4950

Atrial bijemini and trijemini
Dr.Chidambaran

Re: an Interesting ECG

posted at 19/2/2013 1:43 PM GMT on bmj.com
Posts: 2
First: 19/2/2013
Last: 19/2/2013

Hello,

Thanks for the amazing information you are discussing. I come from a family that has had heart issues for generations and generations. This has given me enough motivation to work with patients who suffer from the same problems.

As part of my work, I have to look for new technology to help reduce the time it takes a patient to get diagnosed and start treatment for any heart disease. A
As I was browsing online, I found a very interesting company called SHL, who’s products are some of the most modern I found in the market. They have a device called Smartheart that allows patients to take EKGs at home and send the results to their doctor immediately. Please take a look, as I think it is something very unique.
http://www.shl-telemedicine.com/portfolio/smartheart/

Hope it helps.
Kind regards

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