What in the world is this rhythm?!

Specialties Critical

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I would really like to know as I cant find it in my EKG book which has 40 ekg rhythms...

I know it has very peaked P&T waves and a narrow QRS.

...yeah, sinus brady, some kind of systemic inflammatory disease too, I think, might be bowel, can't be sure...troubled childhood...

:wtf: Do you know any anatomy and physiology... Anyone knows you need all the inferior leads to diagnose bowel issues.

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Specializes in Med-Tele; ED; ICU.
I would really like to know as I cant find it in my EKG book which has 40 ekg rhythms...

I know it has very peaked P&T waves and a narrow QRS.

The T waves aren't really peaked. Google "peaked T waves" and look at some of those images to see what peaked T waves look like.

Check out this great example from my library...

attachment.php?attachmentid=27238&stc=1

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The T waves aren't really peaked. Google "peaked T waves" and look at some of those images to see what peaked T waves look like.

Check out this great example from my library...

attachment.php?attachmentid=27238&stc=1

This ekg pattern would most likely be caused by...in a patient most likely with the chronic diagnosis of...and the immediate treatment would be...

..

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:wtf: Do you know any anatomy and physiology... Anyone knows you need all the inferior leads to diagnose bowel issues.

Actually, this is where the posterior leads can help.

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OP-

The P wave indicates that it is sinus.

Below 60 = brady.

But, you probably know that, and asked the wrong question.

The real question is whether the wave morphology of this sinus rhythm can tell you anything about the patient condition.

I don't think so.

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Specializes in Med-Tele; ED; ICU.
This ekg pattern would most likely be caused by...in a patient most likely with the chronic diagnosis of...and the immediate treatment would be...

I like this line of questioning... I think I will start a new thread...

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We need information about the patient's clinical condition, co-morbidities, and lab values. A peaked P wave can indicate right atrial enlargement, and peaked T waves can signify ischemic changes or electrolyte imbalances. We don't have enough information in the OP to fully identify this rhythm. I agree with the need to see a 12 lead EKG.

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Sinus bradycardia. I don't know if I'd call those T waves peaked..

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