Need rhythm interpretation help

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Pt is an 84 yo fe dx syncope. Cardiac Hx includes A fib (Chronic) TIA, HTN. Pt spontaneously converted to sinus brady two days ago. Rhythm since then has been SB 1 degree AVB(PR 0.26)with BBB, PVC (occasional), PAC (occassional). Tonight I noted extra T wave like waveforms at inconsistant points along her EKG. This was confirmed in two leads. The waves are very similar to a T wave and are superimposed onto P waves, QRS's etc. as well as occuring well after real T waves. This pattern continues despite sleep or wakefulness. I have not seen this before and am asking for any help in explaining this. Am I missing something here? Thanks :confused:

"They're definitely NOT t-waves because t-waves CANNOT occur inependant of qrs complex...ie they arent seen on their own. U-waves would be unlikely because u-waves arent that big, and u-waves wouldn't be seen superimposed on qrs or p-waves."-Dinith88 posted on 9/4/2004-post #5

This was my though exactly-- it is impossible to be a Twave simply because there is nothing to repolarize. But is is extremely similar to the patients T wave that I had to question it... I'll try to get a scan to you if I can access the chart at this late date. :)

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Sorry for not getting back to you all on this one--I'm moving to a new house and have been busy. :chair: :eek:

All of your replys are great, but these T-waves are very random, it does not appear to be artifact but I have no other explaination for its irregularity. P waves march out, followed by QRS's that march out and normal T waves follow QRS's,except for this extra T that appears randomly but frequently through out all points of the EKG-- unfortunately I have no strip to post right now but will try to access med. rec. on my next shift. Thank you all for your help...you're a great bunch!:p Hope we can figure this out, as we all know anything is possible but not without explaining.

Mail the rhythm strip to me. I'LL GET ANSWERS STAT!

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