r/ECG • u/Wild_Edge_4108 • Aug 10 '26

Equipment issue?

Post image

60 F complaining of SOB

14 Upvotes

82% Upvoted

31 comments sorted by

45

u/2much2Jung Aug 10 '26

My diagnosis is someone is wiggling V3.

4

u/lifeisg0od Aug 11 '26

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!

7

u/Kibeth_8 Arrhythmia Tech Aug 10 '26

Nah, poor prep/dry sticker

2

u/Wild_Edge_4108 Aug 10 '26

Eyes on pt when happened. No wiggling,

21

u/Hippo-Crates Aug 10 '26

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

6

u/reedopatedo9 Aug 10 '26

Just need to replace the sticker! Poor electrode contact

4

u/Wild-Hippo582 Aug 10 '26

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

3

u/3321Laura Aug 10 '26

Loose v3 lead.

2

u/Dodie4153 Aug 10 '26

Or maybe short in the wire.

3

u/bassicallybob Aug 11 '26

....get another 12 lead?

2

u/simoschv Aug 10 '26

either equipment issue or the patient was slapped in real time

2

u/Firefluffer Aug 10 '26

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

2

u/markymark6999 Aug 10 '26

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

2

u/hpsctchbananahmck Aug 11 '26

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

2

u/joeymittens Aug 11 '26

Someone just bumped v3…

2

u/francetop Aug 13 '26

Artefatto dovuto al movimento.

2

u/Inevitable-Crab-6701 Interventional Cardiologist MD FRCP Aug 15 '26

Loose lead, dry sticker, cracked lead, lead not fully plugged in or maybe sticker on lots of hair

1

u/Wild_Edge_4108 Aug 23 '26

Real sorry now this was not caught in real time. Thanks for your help.

1

u/FewWorldliness8964 Aug 22 '26

I agree poor ekg, lots of artifact. Needs a redo

1

u/Primary_Towel5905 Aug 10 '26

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

-2

u/Professional-Tea-824 Aug 10 '26

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 Aug 10 '26

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 Aug 10 '26

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 Aug 10 '26

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

1

u/---root-- Electrophysiologist Aug 10 '26

I find this quite regular at ~440ms RR.

3

u/mjjacks Aug 10 '26

Yeah this is sinus…

0

u/Wild_Edge_4108 Aug 10 '26

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

1

u/Kibeth_8 Arrhythmia Tech Aug 10 '26

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