{"id":311,"date":"2015-10-21T18:04:26","date_gmt":"2015-10-21T18:04:26","guid":{"rendered":"http:\/\/torreyekg.com\/?p=311"},"modified":"2015-10-24T00:09:48","modified_gmt":"2015-10-24T00:09:48","slug":"311","status":"publish","type":"post","link":"http:\/\/torreyekg.com\/index.php\/2015\/10\/21\/311\/","title":{"rendered":"EKG of the Week #7"},"content":{"rendered":"<p><a href=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2015\/10\/ecg-7.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-312 size-full\" src=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2015\/10\/ecg-7.png\" alt=\"ecg 7\" width=\"647\" height=\"357\" srcset=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2015\/10\/ecg-7.png 647w, http:\/\/torreyekg.com\/wp-content\/uploads\/2015\/10\/ecg-7-300x166.png 300w\" sizes=\"auto, (max-width: 647px) 100vw, 647px\" \/><\/a>48-year-old man with chest pain, nausea, and diaphoresis.<br \/>\nVS: BP 96\/50\u00a0\u00a0 HR 40\u00a0\u00a0 R 22\u00a0\u00a0 O<sub>2<\/sub> 96%<\/p>\n<div class=\"spoiler-wrap\"><div class=\"spoiler-head collapsed\" title=\"Expand\">Interpretation &amp; Explanation<\/div><div class=\"spoiler-body\" style=\"display: none;\"><br \/>\nRate:36\/minute<br \/>\nRhythm:\u00a0progressive lengthening of the PR intervals, until a P wave\u00a0is dropped <strong>2\u00b0 AV block, Type I<\/strong> (Wenckebach).<br \/>\nAxis:normal\n<p>Intervals<br \/>\nPR: progressive lengthening with AV block<br \/>\nQRS: normal<br \/>\nQTc: normal<br \/>\nChamber enlargement: none<\/p>\n<p>Ischemia\/Infarction: broad T waves in inferior leads (II, III, aVF) which begin at the J point of the QRS and seem to be \u201ctugging\u201d the ST-segment upward\u00e0 these broad and tall T waves are early, hyperacute T waves of transmural infarction. There are also \u201creciprocal changes\u201d in V<sub>2-3<\/sub> with ST-segment depression and T-wave inversion. These changes often represent infarction of the posterior wall.<\/p>\n<p>Interpretation: This EKG represents an <strong>acute inferior-posterior MI<\/strong> with 2\u00b0 AV block, type I (Wenckebach).<br \/>\n<\/p><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>48-year-old man with chest pain, nausea, and diaphoresis. VS: BP 96\/50\u00a0\u00a0 HR 40\u00a0\u00a0 R 22\u00a0\u00a0 O2 96%<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-311","post","type-post","status-publish","format-standard","hentry","category-ekg-of-the-week"],"_links":{"self":[{"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/311","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/comments?post=311"}],"version-history":[{"count":4,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/311\/revisions"}],"predecessor-version":[{"id":318,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/311\/revisions\/318"}],"wp:attachment":[{"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/media?parent=311"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/categories?post=311"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/tags?post=311"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}