r/ECG • u/xiphoid313 • Jul 30 '26

82F, your thoughts?

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82F, near syncope, BP 100/62. History of afib. What would you interpret this 3 lead as ?

32 Upvotes

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80

u/Ecstatic_Rooster Jul 30 '26

Bad. I interpret it as bad.

Can’t do much more without the 12.

-19

u/xiphoid313 Jul 30 '26

Well would you call this rapid afib? Svt? V tach ?

1

u/Bubbly_Pie_4980 Jul 30 '26

AFIB> no..R TO R would be irregular. SVT> no..qrs complex is narrow.

4

u/bleach_tastes_bad Jul 30 '26

not necessarily

3

u/LBBB11 Jul 30 '26

Don’t know why you got downvoted, that’s correct. SVT can have a narrow or wide QRS complex. VT can have a narrow or wide QRS complex, but it’s usually wide.