ECG of the Week – 2nd February 2022

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You are reviewing an 80 year old man who has collapsed.

ecg jan 17

Questions:

  1. Interpret the ECG
  2. Describe your further management

One thought on “ECG of the Week – 2nd February 2022”

  1. Sinus rhythm at less than 100bpm.
    Broad complex – consistent with RBBB.
    Also LAD is present consistent with left anterior fasicular block. Therefore Bifasicular block.
    I note diffuse TWI anterolaterally and maybe STE inferiorly though not typical STE.
    I suspect this patient has had some form of ischaemic event or maybe went in a trifasciular block and collapsed from this asshythmia.
    Aspirin load. Chase trop. ECG to exclude CCF and other causes. Will likely need admission for 24/24 telemetry.

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