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PGY3

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@ecgandrhythmRoe 1. Sinus, 2. Atrial flutter with 2:1 block, 3. AF w/ RVR, 4. NSVT with supraphysiologic PR interval at initiation, VA dissociation with P wave after 5th beat, concealed retrograde conduction after termination

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@UlhasDr 1:1 flutter?

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@UlhasDr RA lead is the culprit

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@PPodrid Unfortunately they are isorhythmically dissociated 🫠

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@PPodrid

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@CardiacSchool @bringWenckebach @DevezaRicardo @cardiotommy @kearney_kate 👀

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@CardiacSchool @echocardiac @EchoCases @EchofirstB @echo_stepbystep 🍒🔛🔝

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@EcgOxford @The_Nanashi_O @MaruanCarlos @ShariqShamimMD @UlhasDr @DidlakeDW @ecgrhythms @syamkumarmd @kkananura @DrRajeshG1 @DocNikko @AslangerE @Vadeboncoeur_Al @EF_Cardiaca @smithECGBlog @EM_RESUS @DruvBhagavan @martinfd78 @estudiomedicina Sinus/atrial tachycardia with PVCs/occasional fusion beats

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@PPodrid Antidromic AVRT from LL pathway 🤔

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@Hragy Highly suspicious for LAD infarct with bifascicular block and qR in V1, anteroseptal ST elevation and reciprocal changes. Takotsubo would be surprising with these changes.

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@kfitzmd Where's the nearest calcium???

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@ShariqShamimMD Hi I'm your ICU dogtor! We'll be monitoring you to make sure you don't have any long pawses.

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@ecgrhythms Sinus tachycardia with CHB, likely fascicular escape rhythm and concerning R on T PVCs

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@AMigelheva @The_Nanashi_O @DidlakeDW @UlhasDr @DrRajeshG1 Double fire tachycardia with slow pathway AV Wenckebach

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@PPodrid Sinus rhythm with alternating BBB pattern - complete RBBB, 7:3 LAFB and 5:1 LPFB

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@JoelSimonEP @True_EP @narrowQRS VA dissociation and identical QRS to baseline would suggest junctional ectopic tachycardia 🤔 I wonder if prolonged HV interval + tachycardia would be explained by irritable/inflamed myocardium at the AV junction

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@ACCinTouch @BraceyA @PendellM @smithECGBlog Make sure that left arm lead stays away from the brachial/radial arteries!

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@gregorymmarcus @DrDave01 Orthodromic AVRT with a right sided pathway! The second question is way over my head...

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@EcgOxford @Dane_o_MD @rorydowd @MaruanCarlos @The_Nanashi_O @doctor_roig @DruvBhagavan @UlhasDr @ECGfan @DidlakeDW @ecgrhythms @SumonCh66773015 @syamkumarmd @brun_dav @rajivasr @FloydECGs @DrRajeshG1 @samstrauss45 @DocNikko @TahaMD_EM Slurred QRS with no VA dissociation looks antidromic 🤔

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@DaneshModi 💩