* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download ECG Quiz 24
Heart failure wikipedia , lookup
Cardiac contractility modulation wikipedia , lookup
Cardiac surgery wikipedia , lookup
Jatene procedure wikipedia , lookup
Myocardial infarction wikipedia , lookup
Lutembacher's syndrome wikipedia , lookup
Atrial fibrillation wikipedia , lookup
Arrhythmogenic right ventricular dysplasia wikipedia , lookup
A 70 year old man comes to the clinic with this ECG. What is the diagnosis? Answer: Complete heart block with LBBB pattern. He actually has a pacemaker in which is difficult to tell from this ECG so the LBBB is because of the pacemaker lead. You can tell its complete heart block with the following rules 1. Regular P-P interval 2. Regular R-R interval 3. The PR interval is variable There is a small pacing spike just before the QRS visible in V2. Usually pacemakers in people with sinus rhythm have an atrial lead and a ventricular lead in order to keep AV synchrony so its weird why this doesn’t occur in this ECG. You would treat this dysynchrony by checking the pacemaker and altering the settings so that it will detect and pace the atria then sequentially pace the ventricle.