Name that rhythm...

Specialties CCU

Published

Hey you cardiac kings and queens...

Can someone put a name to this rhythm?

I was thinking a 2:1 AV Block, Mobitz II

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Specializes in EP/Cath Lab, E.R. I.C.U, and IVR.

Mobitz II with possible digoxin toxicity

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Are we sure this is Mobitz II? This is a pt with ARF and is reasonable to suspect hyperkalemia. It looks to me like a widened QRS, inverted T-wave, and a U-wave. That non-conducting P-wave might be a U-wave.

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Specializes in EP/Cath Lab, E.R. I.C.U, and IVR.

The QRS is not wide enough for Hyperkalemia. It is slow however it also has a slightly inverted t wave which commonly seen in patients with dig toxicity.

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Specializes in Hospitalist.

ST depression can be caused by Dig...yup...had that one before

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Specializes in GICU, PICU, CSICU, SICU.

U-waves are associated with hypokalemia.

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Second degree type II. Fixed p-r, then drops a beat.

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