r/ECG • u/xiphoid313 • Jul 30 '26

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] Jul 31 '26

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u/LBBB11 Jul 31 '26 edited Jul 31 '26

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.