This is
from 25 yo s/p AV valve and TV valve repair. This is a tricky strip.
Showing posts with label accelerated junctional rhythm. Show all posts
Showing posts with label accelerated junctional rhythm. Show all posts
9/06/2018
5/26/2017
A Regular Atrial Fibrillation
A patient s/p AVR. What is this rhythm?
Image Case
This is regular wide QRS complex rhythm (~68 bpm) with no discernible P waves. It has a RBBB pattern (qr in V1) and it does not fit the RBBB-VT criteria for VT wich could either be monophasic R, QR and the rabbit-ear morphology. Thus, this is atrial fibrillation, complete heart block, accelerated junctional rhythm with bundle branch block (likely RBBB). A pacemaker was later implanted.
#684
12/15/2016
4/05/2016
Accelerated Junctional Rhythm
A pt with h/o of
HTN, dyslipidemia and CAD is scheduled for surgery. Pt is asymptomatic and echo
showed EF in the 60's.
Figure 1
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