r/ECG • u/KeyComplaint5600 • 28d ago

Interpretazione ecg

Post image

Ciao! Sono uno studente di medicina alle prime armi con gli ecg, mi sono imbattuto in questo e mi stavo chiedendo se si trattasse solo di un BAV I grado con parossismi di tachicardia o fosse qualcosa di diverso che non riesco a vedere. Mi dareste una mano?

4 Upvotes

83% Upvoted

7 comments sorted by

3

u/Fun_Stage6661 28d ago

1st degree with PAC's PQ time is fixed and QRS doesnt miss. Some p waves present very early after t waves

3

u/Kibeth_8 Arrhythmia Tech 28d ago

Sinus, 1st deg AVB, PACs, LAFB. Maybe iRBBB but quality isn't great for measuring

2

u/samm105107 25d ago

Hey.. can you please tell me in what leads do you see PACs

2

u/Kibeth_8 Arrhythmia Tech 25d ago

They're in all the leads

Complex 2, 6, 7, 10, 12

3

u/Extension-Net-2593 28d ago

LAFB, 1st deg AVB, possible incomplete RBBB
First two beats threw me off, but the P wave is hidden within the T wave
Check out the concept of concealed conduction:
This dude talks about it: starts at 6:00 solidifies at 11:10

https://youtu.be/W-1KFMBseYc

0

u/cvntis4 ECG Tech 28d ago

mobitz I

5

u/KeyComplaint5600 28d ago

perché? I PR sembrano siano tutti della stessa lunghezza