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




Extracted from text ... By Prof William Nelson MD, Clinical Professor of Medicine at the University of Colorado School of Medicine Director of Cardiology Education, St Joseph Hospital, Denver. The reviewer noted the following on the ECG of the 76-year-old man: Your observations include? The ECG shows sinus rhythm with an age-undetermined inferior myocardial infarction and an acute posterior MI. The next day, there is evolution of a postero-lateral MI but in addition, there is atrial tachycardia at 280/minute (?atrial flutter) with a 2:1 AV conduction. If the rhythm is atrial flutter, the morphology is atypical since the waves are positive in leads II, ..


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