This article is an answer to the ECG Case 206
- Rate:
- 156 bpm mean rate
- Varies between ~135 – 185 bpm
- Rhythm:
- Irregularly irregular
- Nil p waves
- Axis:
- Normal (+45 deg)
- Intervals:
- PR – Nil p waves visible
- QRS – Normal (60-80 ms)
- QT – 240-280ms (QTc Bazette ~ 360-470 ms)
- Segments:
- ST Elevation in lead aVR (1mm)
- ST Depression in leads I, II, III, aVF, V4-6
Interpretation
Atrial Fibrillation with rapid ventricular response (RVR) a.k.a ‘Fast AF’. Inferolateral ischaemic changes which could be rate related.
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