Shocking VT Cheating the Paddles
Report:
Ventricular tachycardia 210/min
Spontaneous termination
Sinus rhythm
Left atrial abnormality (LAA)
VEBs
Acute anterior infarction
Movement artefact
Leads V2-3 missing
Comment:
The tracing is rather chaotic, secured in a hurry on a sick patient in Casualty. The VT looks very bizarre and most of us would accept it as a VT without further analysis. Its appearance is, however, modified by two important factors: movement artefact and gross ST segment displacement from acute infarction. Even so, no sensible aberration pattern can be made out: it is a VT.
The acute MI pattern is seen in V4-5, with reciprocal ST depression in simultaneously recorded Lead 2 (rhythm strip) and V6. This is also where the LAA can be diagnosed, from 0.10” long, notched P waves.
Technically better ECG was obtained 2 minutes later (Fig 63a).
If you have any suggestions for or feedback on this report, please let us know.
Hi, can we chat about some terms and conditions?
The library and it's records are licensed under the Creative Commons Attribution 4.0 International license.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
By clicking agree below, you are agreeing to adhere to CC BY 4.0.