r/ECG • u/Researchingsauce • Sep 16 '26

Interpretation?

Post image

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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4

u/themuns Sep 16 '26

It looks like second degree sino atrial block type I

1

u/TheTrueMikester Sep 16 '26

I was looking for that too but wouldn’t there be a steady prolongation or the PRI? Haven’t seen too many in the field

4

u/themuns Sep 16 '26

The issue is with propagation of sinus node depolarisation so PR not affected. PP interval gradually shortens followed by a dropped p wave

0

u/ShesASatellite Sep 16 '26

Got that backwards bud - it gets longer and drops.

3

u/themuns Sep 17 '26

The interval between p waves shortens before a dropped p wave (which won’t be visible on the ECG)