Tag Archives: reciprocal changes

Contiguous and reciprocal lead charts

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Here are some charts to help you identify and localize acute STEMI on the 12 lead ECG. Contiguous leads What do we mean when we say leads are “contiguous”? Contiguous leads are “next” to one another anatomically speaking. They view the same general area of the heart (specifically the left ventricle). For example, these states […]

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Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Joe
Snapshot Case: What Happened?
Pt has some wicked bi-phasic T-waves s/p defibrillation...
2015-05-27 04:01:32
Greg
Snapshot Case: What Happened?
Unsynced cardioversion! I mirror the comments above wondering why this patient even required cardioversion for this afib as the rate doesn't seem particularly sinister. And after 4 shocks maybe consider that the afib might not respond at all and focus on other treatment avenues.
2015-05-27 02:56:05
Sam
Snapshot Case: What Happened?
The patient appears to have been unintentionally cardioverted during the relative refractory period, which can send the heart into v-fib. The first attempt looks to be 50J, under the 120J usually recommended for rapid a-fib, and did not work. Before the second attempt, it appears that there is no longer capture and the patient was…
2015-05-26 23:51:11
Wes Comstock
Snapshot Case: What Happened?
Great example of what happens if you dont sync prior to cardioversion, but I think it is also worth mentioning that its highly unlikely that this patients symptoms were rate related. In the top strip the rate was approx 114 over the 10 seconds and just prior to shock #5 the rate was right around…
2015-05-26 23:17:39
Justin White
Snapshot Case: What Happened?
After shock #4 they didn't sync the monitor again after it defaulted back to defib. They shocked on the T-wave.
2015-05-26 22:47:07

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