ECG QUIZ DR.B.Gowrishankar MD pg Prof.DR.G.Sundaramurthy’s unit(M7)
 
WHAT IS THE DIAGNOSIS ? HOW DO YOU ARRIVE AT IT ?
Features of multifocal atrial tachycardia -different P wave morphology -narrow complex, irregular  tachycardia.
 
Atrial Flutter with 2:1 AV block -flutter line -QRS rate is half the flutter rate.
 
Saw tooth waveform (250-350 bpm) Irregular AV conduction -QRS complexes conducted in 3:1 & 4:1 ratio Non-specific intraventricular conduction delay (RsR’ complexes in II,aVF & V6.
 
Features of this ecg -paroxysms of atrial tachycardia rate of 150 bpm. 3:2 sinoatrial exit block Normal QRS axis.
 
Ventricular tachycardia, 160 bpm, RAD +100` -wide complexes  & AV  dissociation -a capture beat -a fusion beat.
 
Sinus rhythm-monomorphic wide complex tachycardia. AV Dissociation ,independent atrial activity. Features of Inferior wall MI -deep Q waves,ST elevation & T wave inv. In leads III and aVF. -reciprocal  ST  depression  in  leads I & aVL.
 
Sinus rhythm –atrial ectopics. RAD, incomplete RBBB pattern Complete heart block. Acute inferior MI -ST elevation in leads II & III -reciprocal changes in leads I,V4-6. Polymorphic VT -multiple morphologies -varying R-R intervals
 
 
 
 
Wide complex tachycardia LAD  --60` A short R-S interval No AV dissociation.
Thank you

ECG: Quiz

  • 1.
    ECG QUIZ DR.B.GowrishankarMD pg Prof.DR.G.Sundaramurthy’s unit(M7)
  • 2.
  • 3.
    WHAT IS THEDIAGNOSIS ? HOW DO YOU ARRIVE AT IT ?
  • 4.
    Features of multifocalatrial tachycardia -different P wave morphology -narrow complex, irregular tachycardia.
  • 5.
  • 6.
    Atrial Flutter with2:1 AV block -flutter line -QRS rate is half the flutter rate.
  • 7.
  • 8.
    Saw tooth waveform(250-350 bpm) Irregular AV conduction -QRS complexes conducted in 3:1 & 4:1 ratio Non-specific intraventricular conduction delay (RsR’ complexes in II,aVF & V6.
  • 9.
  • 10.
    Features of thisecg -paroxysms of atrial tachycardia rate of 150 bpm. 3:2 sinoatrial exit block Normal QRS axis.
  • 11.
  • 12.
    Ventricular tachycardia, 160bpm, RAD +100` -wide complexes & AV dissociation -a capture beat -a fusion beat.
  • 13.
  • 14.
    Sinus rhythm-monomorphic widecomplex tachycardia. AV Dissociation ,independent atrial activity. Features of Inferior wall MI -deep Q waves,ST elevation & T wave inv. In leads III and aVF. -reciprocal ST depression in leads I & aVL.
  • 15.
  • 16.
    Sinus rhythm –atrialectopics. RAD, incomplete RBBB pattern Complete heart block. Acute inferior MI -ST elevation in leads II & III -reciprocal changes in leads I,V4-6. Polymorphic VT -multiple morphologies -varying R-R intervals
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
    Wide complex tachycardiaLAD --60` A short R-S interval No AV dissociation.
  • 22.