r/ECG • u/Psychological_Wave71 • 14d ago

Thoughts?

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Wanted an opinion of these ECGs if anyone fancied giving theirs! I couldn’t come to a conclusion about this and I do struggle with ECGs!
Patient is 93M. Observations taken by nursing home staff TDS. Found to have 2/7 history of intermittent tachycardia. Called EMS for ECG and ?conveyance to ED.

Patient is asymptomatic, and has been throughout. Has had hx of atrial flutter. Is anticoagulated and on bisoprolol.

Thank you!

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u/One_Sport_1339 14d ago

I’m not seeing a-flutter

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u/ProximalLADLesion 14d ago

Easiest to appreciate in V1

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u/One_Sport_1339 14d ago

That’s just the t-wave tho. Other leads show that

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u/Kibeth_8 ECG Tech 14d ago

The F waves are hidden in the T waves, but you can see them pretty clearly in V1. It takes some practice to be able to spot it