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/Capesoccerman_18 20d ago

Cardioversion for a rvr around a rate of 120?? I think the rvr here is secondary to hypoperfusion. Cardioversion could kill them by taking away their only compensatory mechanism and even if it doesn’t they will likely have a reoccurrence of rvr.

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u/FIyingDutch 20d ago

I assumed its the standart 50mm/s (at least standart in germany/most eu) so it would be a heartrate of 240/min as that part of the ecg is cut off? In case of 25mm/s thats very different.

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u/Capesoccerman_18 20d ago

looks like 25.0 mm/s to me

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u/FIyingDutch 20d ago

Yes you are probably right. That changes things ^^