Questions: What's the etiology of this rhythm?Causes? Would this be generally asymptomatic (I'm guessing yes)? Is treatment necessary? Would this become more pathological? Thanks in advance 😎
Spacefed101 -- That's a very good idea, since they seem to be "linked" to the QRS. So the second p-wave goes down the slow AV nodal pathway and back up the fast pathway. I suppose that's possible, given the initial downward deflection giving the appearance of a "pseudo S-wave" in Lead II. The fixed VA time supports that as well. Nice thinking!
Excellent description 👍 Thanks
Thank you, Sir!
Always Impressive Dr Nick , Thanks a lot for great Explanation
Thank you, Ahmed!!
I use a bit of paper to measure my RR and PP intervals. The NHS doesn't stretch to calipres.
Thank you. Calipers are always necessary to interpret these rhythms.
They help, but if I don't have them handy I make little marks on a piece of paper. 🙂
@@ECGDoc 🙂
Questions: What's the etiology of this rhythm?Causes? Would this be generally asymptomatic (I'm guessing yes)? Is treatment necessary? Would this become more pathological? Thanks in advance 😎
The AV node is not normal... could be related to meds, age, etc. The PACs do not require any therapy. Chances are this patient has no symptoms.
What a gem!
Sir can you please tell me why there is positive deflection in t wave in chest leads and why it is bigger in middle chest leads ?
There is no specific reason.
Ok thanks sir
Dear Dr Nick, I was just wondering, could those non-conducted P waves be an ECHO beat instead?
Spacefed101 -- That's a very good idea, since they seem to be "linked" to the QRS. So the second p-wave goes down the slow AV nodal pathway and back up the fast pathway. I suppose that's possible, given the initial downward deflection giving the appearance of a "pseudo S-wave" in Lead II. The fixed VA time supports that as well. Nice thinking!
Great thought, good eye.
Would a reading from a 6 lead ECG like Kardia be able to give you enough information to make a complex diagnosis or does it take a 12 lead to do that?
Well, most of the time you can see a reasonable degree of details as long as the recording is clean (free of noise)
thanks alot sir
You're welcome! I hope you enjoyed it!