{"id":529,"date":"2016-04-10T00:01:34","date_gmt":"2016-04-10T00:01:34","guid":{"rendered":"http:\/\/torreyekg.com\/?p=529"},"modified":"2016-04-05T03:44:37","modified_gmt":"2016-04-05T03:44:37","slug":"ekg-of-the-week-26","status":"publish","type":"post","link":"http:\/\/torreyekg.com\/index.php\/2016\/04\/10\/ekg-of-the-week-26\/","title":{"rendered":"EKG of the Week #26"},"content":{"rendered":"<p><a href=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/04\/RBBB.png\" rel=\"attachment wp-att-530\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-530\" src=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/04\/RBBB.png\" alt=\"RBBB\" width=\"647\" height=\"351\" srcset=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/04\/RBBB.png 647w, http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/04\/RBBB-300x163.png 300w\" sizes=\"auto, (max-width: 647px) 100vw, 647px\" \/><\/a><\/p>\n<p>Is there chamber enlargement on this EKG?<\/p>\n<div class=\"spoiler-wrap\"><div class=\"spoiler-head collapsed\" title=\"Expand\">Answer &amp; Explanation<\/div><div class=\"spoiler-body\" style=\"display: none;\"><br \/>\nSinus at 100\/minute<br \/>\nAxis: right axis deviation<br \/>\nIntervals: QRS prolonged at 160ms with a tall R in V<sub>1<\/sub> \u2013 RBBB\n<p>Now, chamber enlargement?<br \/>\nWith a RBBB the usual criteria for both right and left ventricular chamber enlargement are somewhat altered.<\/p>\n<p><a href=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/04\/v1.png\" rel=\"attachment wp-att-531\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-531\" src=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/04\/v1.png\" alt=\"v1\" width=\"108\" height=\"189\" \/><\/a><br \/>\nR wave in lead V<sub>1<\/sub> &gt; 15mm suggests <strong>RVH<\/strong>, especially with rightward deviation of the axis<\/p>\n<p>LVH criteria become less sensitive (eg not seen as reliably), but if voltage criteria for LVH are met with a RBBB they are quite specific.<\/p>\n<p>In this week\u2019s tracing, the very tall T in V<sub>1<\/sub> is 18mm, and with the right axis deviation is diagnostic of right ventricular hypertrophy.<br \/>\n<\/p><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Is there chamber enlargement on this EKG?<\/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-529","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\/529","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=529"}],"version-history":[{"count":1,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/529\/revisions"}],"predecessor-version":[{"id":532,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/529\/revisions\/532"}],"wp:attachment":[{"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/media?parent=529"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/categories?post=529"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/tags?post=529"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}