n Cardiovascular Journal of South Africa - The William Nelson ECG quiz




Extracted from text ... The answer is provided on page 163. By Prof William Nelson MD, Clinical Professor of Medicine at the University of Colorado School of Medicine and Director of Cardiology Education, St Joseph Hospital, Denver. The reviewer noted the following on the ECG of the 82-yearold man: How many observations? What does 'bidirectional bigemini' suggest? The ECG The sinus stimuli are conducted with R.B.B.B. and are coupled to VPCs ventricular bigemini. The frontal plane preblocked axis is () 60 degrees and there are large intitial R waves in V2-3. The combination is consistent with an inferoposterior M.I. of uncertain age. Note that the ..


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