ICU Vivas · Arrhythmia & cardiac arrest
Data viva — a 12-lead ECG in the ICU
A data viva on the ECG interpretation — the rate, the rhythm, the QRS width, the axis, and the identification of the arrhythmia and its management.
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Prompt
A 12-lead ECG from an ICU patient with palpitations, to be interpreted.
Stimulus
You are shown the ECG of a 68-year-old ICU patient who complains of palpitations:[1]
- Rate: 170 per minute
- Rhythm: regular
- QRS: 140 ms (broad)
- Axis: left-axis deviation
- Fusion captures present
- The patient has a previous MI[1]
Interpret.[1]
References1ShowHide
- [1]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.