Stepwise interpretation of ECG - #13 no Dx ID419
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The ECG shows an ectopic atrial rhythm originating from a low atrial region at a rate of 70 beats per minute, as well as an incomplete right bundle branch block. P waves are abnormal in shape and timing. There are no signs of ventricular hypertrophy, myocardial infarction, or abnormal ST segments or T waves.
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Stepwise interpretation of ECG - #13 no Dx ID419
- 1. Stepwise interpretation of ECG ID 419
- 2. ID 419 – What is your ECG diagnosis?
- 3. ID 419 – What is your ECG diagnosis? Do you see P waves? If you do, are they normal sinus P waves?
- 4. ID 419 – Ectopic atrial rhythm, 70/min. P waves are clearly seen. They are negative in II, III, aVF and V4-V6. They are not from the sinus node. They are not junctional (the PR interval is 180 msec., in junctional rhythm the PR is usually < 120 msec) They are most likely from a low atrial region (ectopic atrial rhythm )
- 5. ID 419 – Ectopic atrial rhythm, 70/min. Incomplete right bundle branch block The QRS axis is normal – The QRS duration is 100 msec., with a rSR’ pattern (incomplete right bundle branch block).
- 6. ID 419 – Final diagnosis: Ectopic atrial rhythm, 70/min. Incomplete right bundle branch block There are no signs of ventricular hypertrophy – No QRS signs of myocardial infarction- The ST segment and T waves are normal.
- 7. ID 419 – Final diagnosis: Ectopic atrial rhythm, 70/min. Incomplete right bundle branch block There are no signs of ventricular hypertrophy – No QRS signs of myocardial infarction- The ST segment and T waves are normal.