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Third Degree AV Block
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Later that night
3°AVB
Ventricular Standstill
ECG FOAM
Pendell Meyers, Steve Smith
A man in his 40s who really needs you to understand his ECG
Dr Smith's ECG Blog
Junctional Escape
Rhythm Strip Only
3°AVB
Ventriculophasic Arrhythmia
ECG FOAM
Complete AV Block, Junctional Escape Rhythm, and Ventriculophasic Sinus Arrhythmia
ECG Learning Center
Rhythm Strip Only
3°AVB
Ventricular Pacing
ECG FOAM
3rd Degree AV Block Rx'ed With a Ventricular Pacemaker
ECG Learning Center
Accel Junctional
3°AVB
ECG FOAM
Accelerated J Rhythm and 3rd degree AVB
ECG Learning Center
Prehospital
Classic Inferoposterior MI
Reperfusion T Wave
3°AVB
ECG FOAM
Steve Smith
Hyperkalemia: is it the cause of this AV Block, ST Elevation, and T-wave inversion?
Dr Smith's ECG Blog
Arrival
Classic Inferoposterior MI
Inf STE
Junctional Escape
Narrow QRS
Recip STD
Reperfusion T Wave
Sinus Tach
Tall T
3°AVB
ECG FOAM
Steve Smith
Hyperkalemia: is it the cause of this AV Block, ST Elevation, and T-wave inversion?
Dr Smith's ECG Blog
Dizzy
3°AVB
Ventricular Escape
Weak
ECG FOAM
Alex Bracey, Maura Corbett, Pendell Meyers, Steve Smith
An Adolescent with dizziness and near syncope
Dr Smith's ECG Blog
Initial
~High Grade AVB
LA/LL
Posterior + RBBB MI
RBBB
~3°AVB
ECG FOAM
Ken Grauer, Peter Hammarlund, Steve Smith
Acute Chest pain. All P-waves are not conducting. Is it OMI?
Dr Smith's ECG Blog
After atropine
Brady
Wenckebach
Syncope
-3°AVB
ECG FOAM
Ken Grauer, Aaron Robinson, Steve Smith
Syncope and Chest Pressure, then an Unusual Bradycardia with Shock
Dr Smith's ECG Blog
Serial minutes later
Brady
HyperK (8.1)
3°AVB
ECG FOAM
Pendell Meyers, Steve Smith
What will you do for this altered and bradycardic patient?
Dr Smith's ECG Blog
Initial
Brady
HyperK (8.1)
Peaked T
3°AVB
Wide QRS
ECG FOAM
Pendell Meyers, Steve Smith
What will you do for this altered and bradycardic patient?
Dr Smith's ECG Blog
Excess Disc. STE
RCA Occlusion
Syncope
3°AVB
Ventricular Escape
ECG FOAM
Ken Grauer, Andy Lichtenheld, Steve Smith
A 70-something woman with syncope and a wide complex
Dr Smith's ECG Blog
Initial
Excess Disc. STD
Excess Disc. STE
RCA Occlusion
Right Ventricular MI - V1
LBBB Inferopost MI
Syncope
3°AVB
ECG FOAM
Ken Grauer, Andy Lichtenheld, Steve Smith
A 70-something woman with syncope and a wide complex
Dr Smith's ECG Blog
80nin later
Deeply Inverted T Wave
Isorhythmic Dissociation
3°AVB
ECG FOAM
Steve Smith
Sudden weakness with bradycardia and bizarre T-waves
Dr Smith's ECG Blog
Prehospital
Deeply Inverted T Wave
HyperK
3°AVB
Ventricular Escape
ECG FOAM
Steve Smith
A 60-something dialysis patient with complete heart block: ultrasound before and after treatment
Dr Smith's ECG Blog
Prehospital rhythm
Brady
HyperK
Rhythm Strip Only
3°AVB
Ventricular Escape
ECG FOAM
Steve Smith
A 60-something dialysis patient with complete heart block: ultrasound before and after treatment
Dr Smith's ECG Blog
Pacing off
Brady
Lateral STE
RCA Occlusion
3°AVB
ECG FOAM
Steve Smith
Hours out of the OR for valve replacement surgery: patient with paced rhythm becomes hemodynamically unstable
Dr Smith's ECG Blog
Rhythm
Rhythm Strip Only
3°AVB
Ventricular Escape
ECG FOAM
Steve Smith
Syncope Several Times, Complete Heart Block, And a Surprise ECG in the ED!
Dr Smith's ECG Blog
Rhythm Strip Only
Slow AFlutter
3°AVB
ECG FOAM
Steve Smith
Atrial Flutter. What else??
Dr Smith's ECG Blog
Slow AFlutter
3°AVB
Ventricular Escape
ECG FOAM
Steve Smith
Atrial Flutter. What else??
Dr Smith's ECG Blog
Overnight
Deeply Inverted T Wave
3°AVB
ECG FOAM
Steve Smith
Symptomatic Bradycardia. So-called Trifascicular Block. Occum's Razor and Hickum's dictum.
Dr Smith's ECG Blog
Initial
Brady
Classic Inferior MI
Right Ventricular MI - V1
3°AVB
ECG FOAM
Steve Smith
Inferior STEMI with AV Block, Cardiogenic Shock and ST elevation in V1
Dr Smith's ECG Blog
Initial
PE
RBBB
STE
3°AVB
Type II MI
ECG FOAM
Steve Smith
Syncope, Shock, AV block, Large RV, "Anterior" ST Elevation....
Dr Smith's ECG Blog
Prehospital
Tinv
PE
RBBB
3°AVB
Type II MI
ECG FOAM
Steve Smith
Syncope, Shock, AV block, Large RV, "Anterior" ST Elevation....
Dr Smith's ECG Blog
HyperK (5.4)
Slow AFlutter
3°AVB
Ventricular Escape
ECG FOAM
Steve Smith
Extreme Bradycardia after Diarrhea and Dehydration. Best ED treatment?
Dr Smith's ECG Blog
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