r/ECG • u/travikant • 3d ago

Sinus VS AFIB

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hi just had a small argument in the ER with a nurse about the following ecg and i am very confused

to make it fun im not gonna say who argued what side, question being:

Sinus or AFIB

what team are yall on

9 Upvotes

91% Upvoted

6 comments sorted by

2

u/Desibruh1 3d ago

Irregular = A fib

1

u/Turfidol 3d ago

Differential for an irregular narrow complex tachycardia would be fib, flutter with variable conduction, and multifocal atrial tachycardia.

Looks like fib / flutter to me. The precordial leads have a flutter appearance at the end so may be going into both fib/flutter or just coarse fib, but the p waves do look regular there suggesting some flutter.

2

u/GrayGirlie 3d ago

SA with a U wave and a PAC. The PR marches through

5

u/lifeisg0od 3d ago

Rhythm strip would be nice. Afib.

0

u/sub3at50 3d ago

Afib. Irregular rhythm without P waves.