{"id":689,"date":"2017-01-11T16:24:57","date_gmt":"2017-01-11T16:24:57","guid":{"rendered":"http:\/\/torreyekg.com\/?p=689"},"modified":"2017-01-11T16:26:18","modified_gmt":"2017-01-11T16:26:18","slug":"ekg-of-the-week-45","status":"publish","type":"post","link":"http:\/\/torreyekg.com\/index.php\/2017\/01\/11\/ekg-of-the-week-45\/","title":{"rendered":"EKG of the Week #45"},"content":{"rendered":"<p><a href=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2017\/01\/45.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-690\" src=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2017\/01\/45.png\" alt=\"\" width=\"647\" height=\"364\" srcset=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2017\/01\/45.png 647w, http:\/\/torreyekg.com\/wp-content\/uploads\/2017\/01\/45-300x169.png 300w\" sizes=\"auto, (max-width: 647px) 100vw, 647px\" \/><\/a><br \/>\n48-year-old man with this EKG after bradycardia was noticed in the PCP office.<\/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 \/>\nThis middle-aged man is a landscape worker in Massachusetts and frequently encounters ticks that he \u201cburns off with a cigarette\u201d. He vaguely remembers a \u201clarge round red rash\u201d during the summer. Currently he has no complaints but was noted to be bradycardic at a routine PCP office visit.\n<p>Rate and rhythm \u2013 narrow QRS complexes at a regular rate of 45\/min, with P waves at a regular rate of 72\/min; the P waves and the QRS complexes are completely dissociated \u2013 this is 3\u00b0 AV block, or complete heart block.<\/p>\n<p>Notice that the rate QRS complex is 45\/min and the complexes are narrow-complex \u2013 this implies that this \u201cescape rhythm\u201d is high in the progression of possible escape locations, probably just below the AV node.<\/p>\n<p>This healthy middle-aged landscaper was diagnosed with Lyme carditis with AV node involvement.<br \/>\n<\/p><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>48-year-old man with this EKG after bradycardia was noticed in the PCP office.<\/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-689","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\/689","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=689"}],"version-history":[{"count":2,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/689\/revisions"}],"predecessor-version":[{"id":692,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/689\/revisions\/692"}],"wp:attachment":[{"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/media?parent=689"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/categories?post=689"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/tags?post=689"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}