at the example that read normal ekg at 5:20, i am seeing pathological q waves in v1 and AVL and inverted t wave in avl, could that be related to past mi? also i am hesitant that this patient has wpw phenomenon since the the beginning of qrs has a wierd upstroke provied the closeness of p waves to qrses!!
first example, why couldn't it be third degree block! i am seeing a complete dissociation between the sinus at a rate of 75 and the qrs at a rate of around 40. is it because the qrs is narrow? at the same time it could be a 2:1 2nd degree AV block
+J. Preston Van Buren Yes, there are inverted T waves in V1. In the case of this specific EKG, it's likely due to RVH (or the relative RVH of infancy).Depending on other aspects of the ECG, inverted T waves can also be normal in V1 (as long as they are not present in V2), as well as either in aVL or III (but inversion in both aVL AND III would raise very modest concern).For more details, here's a relevant paper on the diagonal line lead rule by some colleagues of mine: www.ncbi.nlm.nih.gov/pubmed/?term=25065339
Based on the exception you notes regarding "normal EKG" computer readings, is it safe to take a normal read at face value without doing a systematic evaluation?
I hesitate to say yes since I would be critical of a trainee if I discovered they had done that (i.e. not actually looked at an ECG they had ordered for their patient). However, I can't think of an example I had seen in which a patient's ECG read "normal ECG" while it actually contained a clinically relevant abnormality.
Excellent video!!, Keep posting such a helpful videos
Thank you for your altruist work
at the example that read normal ekg at 5:20, i am seeing pathological q waves in v1 and AVL and inverted t wave in avl, could that be related to past mi? also i am hesitant that this patient has wpw phenomenon since the the beginning of qrs has a wierd upstroke provied the closeness of p waves to qrses!!
Thank you Dr Strong!
6:00 Positive P in aVR?
Thank you! One more great video!
Which is the best lead to find p and t waves. I frequently face difficulty in finding them and differentiating between them
What about upright p waves and qrs in aVr?
Best explanation
I cant thank you enough for all that :)
Nic work..... b
first example, why couldn't it be third degree block! i am seeing a complete dissociation between the sinus at a rate of 75 and the qrs at a rate of around 40. is it because the qrs is narrow? at the same time it could be a 2:1 2nd degree AV block
a hero !! thank you
Are there inverted T waves in V1 in the EKG interpreted at about the 8th minute? If so, does this signify anything? Thank you!
+J. Preston Van Buren Yes, there are inverted T waves in V1. In the case of this specific EKG, it's likely due to RVH (or the relative RVH of infancy).Depending on other aspects of the ECG, inverted T waves can also be normal in V1 (as long as they are not present in V2), as well as either in aVL or III (but inversion in both aVL AND III would raise very modest concern).For more details, here's a relevant paper on the diagonal line lead rule by some colleagues of mine: www.ncbi.nlm.nih.gov/pubmed/?term=25065339
What about Lead II, inverted QRS complex.?
Thank you so much!
Based on the exception you notes regarding "normal EKG" computer readings, is it safe to take a normal read at face value without doing a systematic evaluation?
I hesitate to say yes since I would be critical of a trainee if I discovered they had done that (i.e. not actually looked at an ECG they had ordered for their patient). However, I can't think of an example I had seen in which a patient's ECG read "normal ECG" while it actually contained a clinically relevant abnormality.
Thank you.
Thank you
thank you!!
تم التحميل. ....
105 bpm for a 1 day baby is kinda low though. Idk if you can consider this normal
Thank you