π59 year male smoker
k/c/o COPD, DM, HTN with DCMP (EF=20%) palpitations and dizziness x 2 days
O/E : B/L crepts +, rest
ECGπ
#Medtwitter #MedEd2022 #ECG #CardioEd
k/c/o COPD, DM, HTN with DCMP (EF=20%) palpitations and dizziness x 2 days
O/E : B/L crepts +, rest
ECGπ
#Medtwitter #MedEd2022 #ECG #CardioEd
What is the likely rhythm ?
Answer - πΌπ©π§πππ‘ ππππ§ππ‘π‘ππ©ππ€π£
πAbsent discrete P-waves
πFibrillatory waves (f-waves)
πIrregularly irregular QRS complexes
πAbsent discrete P-waves
πFibrillatory waves (f-waves)
πIrregularly irregular QRS complexes
πΈFibrillatory waves : irregular, low amplitude, oscillatory @ 350-600/min
πΈDepending on LA scarring and AF duration :
β΄οΈNew AF : coarse f-waves of >2mm
β΄οΈOld AF : fine f-waves of <1mm
πΈf-Waves are best seen on lead-V1
πΈAbsence of f-waves ππ’ππ¦ π‘π’π§ ππ«πππ¨ππ AF
πΈDepending on LA scarring and AF duration :
β΄οΈNew AF : coarse f-waves of >2mm
β΄οΈOld AF : fine f-waves of <1mm
πΈf-Waves are best seen on lead-V1
πΈAbsence of f-waves ππ’ππ¦ π‘π’π§ ππ«πππ¨ππ AF
Need to be differentiated from
1. AFL
2. AFL with variable Block
3. MAT
4. Artefacts
ECGs attached below β¬οΈ
1. AFL
2. AFL with variable Block
3. MAT
4. Artefacts
ECGs attached below β¬οΈ
Hope you find it useful in Clinical practiceπ
β’ β’ β’
Missing some Tweet in this thread? You can try to
force a refresh
γ
