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  • Ecg Anj

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    Anjely S
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    This ECG shows regular ectopic beats in a 29-year old male who presents with a 2-year history of episodic palpitations occurring weekly and lasting 10-60 minutes, sometimes with dizziness. Examination found a regular pulse with infrequent ectopics. The likely cause of the palpitations is premature ventricular contractions and further testing could include Holter monitoring or an electrophysiology study. This ECG in an 84-year old male shows an irregular pulse who developed increasing breathlessness after a chest infection. He has a past history of rheumatic fever. The ECG shows irregular rhythm which is likely due to atrial fibrillation related to his previous rheumatic fever.

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    Ecg

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    This ECG shows regular ectopic beats in a 29-year old male who presents with a 2-year history of episodic palpitations occurring weekly and lasting 10-60 minutes, sometimes with dizziness. Examination found a regular pulse with infrequent ectopics. The likely cause of the palpitations is premature ventricular contractions and further testing could include Holter monitoring or an electrophysiology study. This ECG in an 84-year old male shows an irregular pulse who developed increasing breathlessness after a chest infection. He has a past history of rheumatic fever. The ECG shows irregular rhythm which is likely due to atrial fibrillation related to his previous rheumatic fever.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    6 views13 pages

    Ecg Anj

    Uploaded by

    Anjely S
    This ECG shows regular ectopic beats in a 29-year old male who presents with a 2-year history of episodic palpitations occurring weekly and lasting 10-60 minutes, sometimes with dizziness. Examination found a regular pulse with infrequent ectopics. The likely cause of the palpitations is premature ventricular contractions and further testing could include Holter monitoring or an electrophysiology study. This ECG in an 84-year old male shows an irregular pulse who developed increasing breathlessness after a chest infection. He has a past history of rheumatic fever. The ECG shows irregular rhythm which is likely due to atrial fibrillation related to his previous rheumatic fever.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 13

    ECG

    • Male,29yr
    • Presenting Complaints
    • Episodic Palpitations
    • History Of Present Complaints
    • A 2yr History Of Rapid Regular Palpitations Occurring Once A Week
    On Average And Lasting For Between 10 And 60 Minutes.Prolonged
    Episodes Are Associated With Dizziness
    • Past Medical History-nil
    • Examination
    • Pulse-66/min regular with infrequent ectopics
    • Blood pressure-130/82
    • Jvp-not elevated
    • Heart sounds-normal
    • Chest auscultation-unremarkable
    • No peripheral edema
    • Investigations
    • Hb-14.5
    • Wcc-5.7
    • Platelets-286
    • U &E- Na-141 K-4.6 urea-4.1 creatinine-72
    • Thyroid function-normal
    • Chest x ray-normal heart size, clear lung fields
    • What does this ECG shows?
    • What is likely cause of the patients palpitation?
    • What further investigations would be appropriate?
    • Male 84yr
    • Presenting complaints
    • Increasing breathlessness
    • History of presenting complaints
    • Had been fairly well until developed chest infection .breathlessness
    has got progressively worse since then
    • Past medical history-previous rheumatic fever
    • Examination
    • Pulse-42/min irregular
    • Bp-122/76
    • Jvp-normal
    • Heart sounds-normal
    • Chest auscultation-unremarkable
    • No peripheral oedema
    • Investigations
    • Hb-11.1
    • Wcc-4.7
    • Platelets-224
    • Na-135,k-4.7
    • Urea-5.8,creatinine-146
    • Thyroid function-normal
    • Troponin I- negative
    • What does this ECG shows ?
    • What is the mechanism of this?
    • What are the likely causes?
    • What are the key issues in managing this patient?

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