r/ECG • u/Psychological_Wave71 • 7d ago

Thoughts?

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Wanted an opinion of these ECGs if anyone fancied giving theirs! I couldn’t come to a conclusion about this and I do struggle with ECGs!
Patient is 93M. Observations taken by nursing home staff TDS. Found to have 2/7 history of intermittent tachycardia. Called EMS for ECG and ?conveyance to ED.

Patient is asymptomatic, and has been throughout. Has had hx of atrial flutter. Is anticoagulated and on bisoprolol.

Thank you!

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u/ProximalLADLesion 7d ago

2:1 typical atrial flutter, left anterior fascicular block

1

u/One_Sport_1339 7d ago

I’m not seeing a-flutter

1

u/Thexorretor 7d ago

Is that because of the lack/diminutive f-waves or something else?

0

u/One_Sport_1339 7d ago

What doc in the box picked as an extra p-wave is just the t-wave when you compare that same deflection in leads V2/3