12- EKG ASSESSMENT Harvard Case Solution & Analysis

12- EKG Assessment Case Study Solution

1. The atrial rate = 150
2. The ventricular rate = 150
3. Is the atrial rhythm regular or irregular?

The Atrial rhythm is regular.

4. Is the ventricular rhythm regular or irregular?

The Ventricular Rhythm is irregular.

5. Does every P have a QRS complex following it?

Yes every P-wave has a QRS complex following it.

6. Does every QRS have a P preceding it?

Yes every QRS have a P preceding it.

7. The P-R interval is12seconds.
8. Are all the P-waves uniform?

The P waves were uniform.

9. Do all of the QRS complexes appear uniform?

The QRS complexes do not appear uniform

10. Is the QRS complex wide or normal?

The QRS complex is normal.

11. Is there any type of block? If so, what type?

There is no type of block in the ECG.

12. The rhythm is:Atrial Tachycardia
13. Is there atrial hypertrophy? If so, is it right or left?

There is atrial hypertrophy on the left.

14. Is there ventricular hypertrophy? If so, is it right or left?

There is no ventricular hypertrophy.

15. Is there any indication of ischemia, injury, or infarction? If so, explain.

There was an indication of ischemia as the ST segment was in depression >1mm below baseline.

16. ST segment abnormalities? (Describe and note leads)

ST segment abnormalities were due to the depression of the ST interval which gave anindicationof ischemia.

• If so, what area of the heart corresponds?

The area which the heart corresponds to QRS complex.

• What coronary artery corresponds to this area?

The coronary artery corresponds to the PQ segments.

17. T wave abnormalities? (Describe and note leads)

There were no T wave abnormalities.

18. Are there any significant Q waves?

There were no significant Q waves.

19. Is there any Axis deviation? If so, identify the quadrant

There is Axis Deviation which is positive due to the lead of aVF which is upright.

20. Is there any rotation? If so, identify the direction

There is rightward rotation in V₁& V₂

Rhythm Strip # 2

1. The atrial rate = 140
2. The ventricular rate =140
3. Is the atrial rhythm regular or irregular?

This atrial rhythm is regular.

4. Is the ventricular rhythm regular or irregular?

The Ventricular Rhythm is irregular.

5. Does every P have a QRS complex following it?

Yes, there is every P which has a QRS complex following it.

6. Does every QRS have a P preceding it?

Yes, every QRS has a P preceding it.

7. The P-R interval is15 seconds.
8. Are all the P-waves uniform?

Yes, the P waves are uniform.

9. Do all of the QRS complexes appear uniform?

No, QRS complexes do not appear uniform.

10. Is the QRS complex wide or normal?

The QRS complex is normal.

11. Is there any type of block? If so, what type?

There is a type of block which is the bundle bunch block due to QRS > 0.12

12. The rhythm is:Ventricular Tachycardia
13. Is there atrial hypertrophy? If so, is it right or left?

There is atrial Hypertrophy on the right.

14. Is there ventricular hypertrophy? If so, is it right or left?

There is no Ventricular Hypertrophy.

15. Is there any indication of ischemia, injury, or infarction? If so, explain.

There is an indication of Injury due to ST segmentation elevation.

16. ST segment abnormalities? (Describe and note leads)

ST segment abnormalities are due to the indication of injury and leads were known on the ST interval.

1. If so, what area of the heart corresponds?

The area on which the heart corresponds isaVF.

1. What coronary artery corresponds with this area?

The coronary artery corresponds to the area is aVL.

17. T wave abnormalities? (Describe and note leads)

There are noT wave abnormalities.

18. Are there any significant Q waves?

There are no significant Q waves as all of the Q waves are uniform.

19. Is there any Axis deviation? If so, identify the quadrant

There is Axis Deviation on the lead I which is left.

20. Is there any rotation? If so, identify the direction

There is no rotation in the direction.

Rhythm Strip # 3

1. The atrial rate = 250
2. The ventricular rate = 240
3. Is the atrial rhythm regular or irregular?

The atrial rhythm is irregular.

4. Is the ventricular rhythm regular or irregular?

The ventricular rhythm is regular.

5. Does every P have a QRS complex following it?

The P has a QRS complex following it.

6. Does every QRS have a P preceding it?

Every QRS has a P preceding it.

7. The P-R interval is 12 seconds.
8. Are all the P waves uniform?

The P waves are not uniform.

9. Do all of the QRS complexes appear uniform?

All of the QRS complexes do not appear uniform as there are few slight differences among them.

10. Is the QRS complex wide or normal?

The QRS complex is normal.

11. Is there any type of block? If so, what type?

There is a type of block which is the 2^nd Degree AV block which is the Wenckenbach due to PR being longer until QRS is dropped.

12. The rhythm is:Atrial Flutter
13. Is there atrial hypertrophy? If so, is it right or left?..................

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