A young woman with anxiety comes in because she says her heart beat is irregular. Her father has a history of atrial fibrillation and her mother has a history of a heart attack. Her EKG is shown above.
Challenge: How would you read this EKG?
Image shown under Fair Use.
Thursday, October 30, 2014
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1 comment:
Almost Normal
This is a physiologic sinus arrhythmia, a normal variant. It is associated with respiration, and the variation is due to changes in vagal tone. Note the P has a normal axis and is not premature.
Sources: UpToDate; ECG Wave Maven.
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