ECG Quiz 029

Scenario

An 82 year old man, who lives alone, presents to the emergency department following being found collapsed at home. He says he takes tablets for his heart but cannot recall their names.

Question

a.Describe and interpret his ECG(100%)

Answer

FACEM VAQ Exam 2010.2- Question 8

  • The overall pass rate for this question was 57/92 (62%)
  • Pass Criteria
    • Sinus rate 65-70 (from consecutive sinus beats in rhythm strip)
    • Rhythm = sinus + Bigeminy / multifocal VE’s
    • Axis = normal
    • 1st degree AV block
    • QT normal
    • Interpretation / differential to include Drugs – β blockers, Digoxin, Ca channel blockers, and Cardiac – ? Ischemia

ACEM Fellowship Visual Aid Questions

Print Friendly
About Mike Cadogan

Emergency physician with a passion for medical informatics and medical education. Co-founder of HealthEngine, iMeducate, and the GMEP. He writes more eclectically on the web as @sandnsurf | + Mike Cadogan | Contact