tag:blogger.com,1999:blog-549949223388475481.post3130843239704699832..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Male in his 50's resuscitated from ventricular fib and comatoseUnknownnoreply@blogger.comBlogger3125tag:blogger.com,1999:blog-549949223388475481.post-85343058947978260812020-05-13T08:08:30.078-05:002020-05-13T08:08:30.078-05:00Thanks KenThanks KenAKShttps://www.blogger.com/profile/02154650740617806061noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-32682417781906863482020-05-12T20:22:48.131-05:002020-05-12T20:22:48.131-05:00Excellent question you ask as to what is the rhyth...Excellent question you ask as to what is the rhythm! I fully admit that I don’t know the exact answer … As per Dr. Smith — sinus impulses are irregular, but there seems to be a pattern (more so than what I’d expect with simple sinus arrhythmia … — and, if you step back from the rhythm, there seems to be group beating (which usually suggests some sort of Wenckebach phenomenon — perhaps here, with some sort of SA nodal exit block). And, as per Dr. Smith — there does seem to be periodic escape beats from a slightly accelerated junctional focus. What I can say — is that this is a post-resuscitation rhythm, and one thing I learned from reviewing numerous cardiac arrest scenarios over the years is that you OFTEN see highly unusual arrhythmias during cardiopulmonary resuscitation that just do NOT “follow the rules”.ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-73640803524038652582020-05-12T17:23:05.697-05:002020-05-12T17:23:05.697-05:00What's the rhythm interpretation here ?What's the rhythm interpretation here ?AKShttps://www.blogger.com/profile/02154650740617806061noreply@blogger.com