This post is an answer to the ECG Case 331
- Rate: Mean ventricular rate 144 bpm
- Rhythm:
- Irregular
- Nil regular P waves visible
- Notching terminal QRS complexes #8 and #9 in aVF
- ? fibrillation waves ? Retrograde P ? SA activity
- Axis: Normal
- Intervals: QRS – Normal
- Additional:
- ST Depression in leads II, III, aVF, V3-6
- ST elevation in lead aVR
- T wave inversion in leads II, III, aVF
Interpretation
- Atrial fibrillation with rapid ventricular response (RVR)
- ST / T wave changes likely rate-related demand ischemia
READ MORE: Management of Atrial Fibrillation (AF) with Rapid Ventricular Response (RVR)
SIMILAR CASES:
