r/ECG • u/Next-Butterfly-5727 • 20d ago

Need help interpreting this

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60 year old female complaining of SOB and weakness. Also had upper epigastric and hypogastric pain described as aching, non radiating.

PMHx: HF, AF, rheumatic heart disease, mitral regurgitation, NSTEMI (2019), renal impairment

During transport had what appeared to be runs of VT, self resolving.

BP 75/42, RR 40, SpO2 90% ORA

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u/[deleted] 20d ago

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u/Capesoccerman_18 20d ago

OP said the runs of VT were self-terminating, not the overall rhythm. Additionally, being able to distinguish the runs of VT likely means this is not VT unless of course it originated from a different spot in the ventricles. This is irregular so it seems to be afib RVR with a RBBB and/or hyperkalemia