What is the axis?

0
Rhythm?


Rhythm?

Atrial Bigeminy
Rhythm?

Inferior Wall MI
note the "firehat" sign in II, III and aVF
Rhythm?

Left ventricular hypertrophy with strain pattern
Rhythm?

Prolonged QT syndrome
(hypomagnesemia)
Rhythm?

Wolf-Parkinson-White (WPW)
Rhythm?

Second degree AV block
Mobitz type II
What is wrong here?

Hypothermia
Note
•Severe sinus Bradycardia
•Prolonged PR interval
•Widened QRS complex
•Prolonged QT interval
•Osborn wave
–Extra deflection at the end of the QRS complex
Rhythm?

WPW
Rhythm?

Third degree AV block
Diagnose!

Anterolateral Wall MI
Note ST elevation in I, aVL, V5 and V6
What do you see here?

Atrial Paced rhythm
Rhythm?

Mobitz Type II
What do you see here?

Wandering Pacemaker
What is the problem here?

Hyperkalemia
Note
- flattened/widened P waves
- Widened QRS complexes
- Peaked T waves
Rhythm?

Right bundle branch block
What's indicated here... I guess not all these are rhythms, just got carried away on repeat

Inferior Wall MI
note the ST elevation in II, III and aVF again
What are these findings indicative of?

Left atrial hypertrophy
What is going on here?

Dextrocardia
Rhythm?

Junctional
Rhythm?

Right atrial hypertrophy
Tall biphasic P waves that are mostly positive (see in V1 especially)
Rhythm?

Atrial Fibrillation
Rhythm?

First degree AV block
Rhythm?

Wenckebach (type I second degree heart block)
Axis?

-90
Rhythm?

Left bundle branch block
Rhythm?

Left atrial Hypertrophy
P waves are biphasic and primarily negative
Rhythm?

Torsades de Points
Rhythm?

Prolonged QT syndrome
What is the axis?
-60
What is wrong here?

Hypocalcemia
Note
- Prolonged QT interval
- Flattened T waves
Axis?

+100
What is the axis?

+30
Rhythm?

Right ventricular hypertrophy with strain pattern
Rhythm?

Anterior Ischemia
Note the depressed ST segments in V3, V4
Rhythm?

Atrial Flutter
Rhythm?

Anterior Ischemia
What is shown in this strip?

Pericardial Effusion
"electrical alternans" Due to heart moving in the sac you get variable electrical signaling
Rate and Rhythm?

~75 bpm
Normal Sinus rythym
What's going on here?

Hypothermia
What is the problem here?

Hypokalemia
Note
- Flattened T waves
- Prominent U waves
Rhythm?

Junctional Tachycardia
Rhythm?

Ventricular Bigeminy
Rhythm?

Left ventricular hypertrophy with strain pattern
In addition to V1 S and V5 R greater than 35mm you also have depressed and humped ST segment, and you will see asymmetric T waves
Rhythm?

Ventricular Tachycardia
What is shown here?

Pericarditis
•ST segment elevation that is flattened with T wave elevated off the baseline
•Usually present in all leads
•Convincing evidence of PR segment depression
Rhythym?

Right bundle branch block
Rhythm?

Wenckebach
Name that problem!

Hypercalcemia
Note
- Shortened QT interval
- Widened T wave
What do you see here?

Ventricular paced rhythm
note the sharp spikes in the P waves
Rhythm?

Left Ventricular hypertrophy
Abnormally large S wave in V1
Abnormally large R wave in V5
V1 S wave plus V5 R wave > 35 mm is left ventricular hypertrophy
Rhythm?

Ventricular Fibrillation