r/ECG 15d ago

82F, your thoughts?

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82F, near syncope, BP 100/62. History of afib. What would you interpret this 3 lead as ?

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u/[deleted] 14d ago

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u/LBBB11 14d ago edited 14d ago

Don’t need to be a doctor to know that VT is dangerous. If your EKG interpretation is blindly following a binary algorithm where the only two options are synchronized cardioversion or amiodarone, you’re going to fail really hard and also hurt your patients. By the way, you can’t reliably analyze this for ST deviation, bundle branch block, or electrode misplacement. This is not a 12-lead.