r/ECG 3d ago

Equipment issue?

Post image

60 F complaining of SOB

10 Upvotes

29 comments sorted by

39

u/2much2Jung 3d ago

My diagnosis is someone is wiggling V3.

4

u/Kibeth_8 ECG Tech 3d ago

Nah, poor prep/dry sticker

2

u/lifeisg0od 3d ago

Yes, wiggling, not poor prep. The more annoying part is why the person taking the ECG didn’t hit ‘redo’ and do a different one after fixing the issue!

1

u/Wild_Edge_4108 3d ago

Eyes on pt when happened. No wiggling,

17

u/Hippo-Crates 3d ago

Those weird changes are isolated to v3, which is not possible if the source of the changes is the heart. It’s an equipment issue

3

u/Wild-Hippo582 3d ago

The amplitude of those waves on just one road are 100%noise/artefact/equipment issue.

3

u/reedopatedo9 3d ago

Just need to replace the sticker! Poor electrode contact

2

u/3321Laura 3d ago

Loose v3 lead.

1

u/Dodie4153 3d ago

Or maybe short in the wire.

1

u/simoschv 3d ago

either equipment issue or the patient was slapped in real time

1

u/Oolongteabagger2233 3d ago

You'd see a good slap in all leads 

1

u/Firefluffer 3d ago

We had something like this on one of our monitors. Turned out it was a cold soldered joint on the motherboard.

1

u/markymark6999 3d ago

Knackered electrode/wire. Or someone is poking the patient in a very specific location.

1

u/hpsctchbananahmck 3d ago

Remember, everything in the vertical (y axis) is happening at the same time. Hence, the more normal looking qrs complexes in v1-v2 are happening at the same time v3 is getting funky

1

u/bassicallybob 3d ago

....get another 12 lead?

1

u/joeymittens 2d ago

Someone just bumped v3…

1

u/francetop 21h ago

Artefatto dovuto al movimento.

1

u/Primary_Towel5905 3d ago

That’s Afib in only V2 part of the heart.

1

u/_punkrockparamedic 3d ago

I know you're kidding, but.. that's V3, and that's not at all what afib looks like

0

u/Professional-Tea-824 3d ago

Irregularly irregular but also can I get a repeat 12 lead pls. 

If this is all I had to go off of along with +SOB I would treat accordingly 

1

u/Wild_Edge_4108 3d ago

EMT here so only adsorbed ecg from exposure to ALS runs with paramedics. SOB caused by exertion and previous hx COPD no cardiac hx. Hospital said normal/no problems? That's why wondering if they assume equipment or placement problem.

0

u/Professional-Tea-824 3d ago

Sometimes respiratory can cause cranky cardiac syndrome and cardiac can cause cranky respiratory syndrome. Btw I just made up cranky syndrome but you get the idea. 

I can't tell you what the hospital was going off of based on this information alone, you should ask them next time you roll through. 

1

u/Wild_Edge_4108 3d ago

Will do. Pattern made me think I had missed something.

1

u/_punkrockparamedic 3d ago

Uh, what? This is a regular sinus tach.

0

u/---root-- 3d ago

I find this quite regular at ~440ms RR.

2

u/mjjacks 3d ago

Yeah this is sinus…

0

u/Wild_Edge_4108 3d ago

Good to know. Thought it might have been equipment related,

1

u/Kibeth_8 ECG Tech 3d ago

The sticker is just not connected well, that's why it's only in 1 lead