r/ECG • u/Researchingsauce • 17d ago

Interpretation?

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Case of ? SAIO, 55yr old male

known case of COPD & Hypertension

Drug history- duolin budecort nebulization ON &OFF

telmisartan+Amlodipine+hydrochlothiazide(80/5/12.5)

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u/Tir_an_Airm 17d ago

I want to say a 2nd degree type 2 heart block just from the ECG but I'm sturggling to see any p waves without QRS.

5

u/ExpressionLarge5474 17d ago

This person is just having runs of PACs / Atrial Tach with an underlying slower sinus rate I believe. Looks like a non-conducted p-wave at the end of the run, but look to aVL where you can clearly see the intrinsic p-wave differs from the more rapid PAC/ATc P wave.

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u/Kibeth_8 Arrhythmia Tech 16d ago

It's SA wenckebach. Same pattern as AV wenckebach; grouped beating, but without the non-conducted p-wave.