Saturday, November 1, 2008

Saturday November 1, 2008

Q; What is your diagnosis?



Answer: Atrial fibrillation and complete heart block

In first glance, its hard to miss Atrial fibrillation in above EKG but distinguishing points are

  • Fibrillary waves of atrial fibrillation on close look
  • No P waves.
  • Regular ventricular rhythm

AF with complete heart block is an indication for a permanent pacemaker.