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QRS/ST Segment Practice Tracings

QRS/ST Segment Practice Tracings. Nick Sparacino, DO. 78 y/o female with UTI. Bonus ?: where is the borderline 1 st degree av block located?. 78 y/o female with UTI. Large S in inferior leads + >-45 degree axis = LAFB. RsR’ pattern in frontal leads (V1/V2) = RBBB. Bifascicular block. +.

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QRS/ST Segment Practice Tracings

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  1. QRS/ST Segment Practice Tracings Nick Sparacino, DO

  2. 78 y/o female with UTI Bonus ?: where is the borderline 1st degree av block located?

  3. 78 y/o female with UTI Large S in inferior leads + >-45 degree axis = LAFB RsR’ pattern in frontal leads (V1/V2) = RBBB Bifascicular block + =

  4. 65 y/o male with inferoposterior MI 6 years ago

  5. 65 y/o male with inferoposterior MI 6 years ago qR pattern in II, III, aVF = LPFB RsR’ pattern in frontal leads (V1/V2) = RBBB + = Bifascicular Block

  6. 48 y/o male on dialysis

  7. 48 y/o male w/ htn on dialysis, no cardiac symptoms Depressed, inverted T waves progressing laterally + large (-) deflection in V1 p wave + history of dialysis and htn = most likely LVH

  8. 82 y/o female with a fib, ICM, EF 20%,now with subacute increase in fatigue, sob, edema

  9. 82 y/o female with a fib, ICM, EF 20%,now with subacute increase in fatigue, sob, edema Dig effect -> depressed lateral ST, inverted lateral T. History of a fib and ischemic cmo make dig a likely drug

  10. 68 y/o male with left chest pain, TIMI 5, trop (-) x 2

  11. 68 y/o male with left chest pain, TIMI 6, trop (-) x 2 Biphasic ST-T’s in V2/V3, progressively more flattened laterally in high risk pt with negative trop = worry about Wellens!

  12. 35 y/o f 1 year sob, severe GERD Tall R in frontal leads, ST depresseion in frontal leads, large S in lateral leads =RVH tall peaked P in II denotes RAH, demonstrating chronic/severe RVH. With history of GERD, consider primary pulm hypertension with scleroderma spectrum disease

  13. 35 y/o f 1 year sob, severe GERD

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