{"id":263,"date":"2015-09-13T01:18:13","date_gmt":"2015-09-13T01:18:13","guid":{"rendered":"http:\/\/torreyekg.com\/?p=263"},"modified":"2015-09-13T01:19:17","modified_gmt":"2015-09-13T01:19:17","slug":"ekg-of-the-week-3","status":"publish","type":"post","link":"https:\/\/torreyekg.com\/index.php\/2015\/09\/13\/ekg-of-the-week-3\/","title":{"rendered":"EKG of the Week #3"},"content":{"rendered":"<p><a href=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2015\/06\/EKG-of-the-Week-3.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-43 size-full\" src=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2015\/06\/EKG-of-the-Week-3.png\" alt=\"EKG of the Week #3\" width=\"647\" height=\"350\" srcset=\"https:\/\/torreyekg.com\/wp-content\/uploads\/2015\/06\/EKG-of-the-Week-3.png 647w, https:\/\/torreyekg.com\/wp-content\/uploads\/2015\/06\/EKG-of-the-Week-3-300x162.png 300w\" sizes=\"auto, (max-width: 647px) 100vw, 647px\" \/><\/a><\/p>\n<p>40-year-old woman with palpitations.<\/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 patient has a slightly irregular rhythm which corresponds to her sensation of \u201ca skipped beat\u201d.\u00a0 The rhythm is essentially sinus at 75\/minute with occasional pauses in the regular rhythm.\u00a0 The pauses are caused by an early atrial depolarization (a PAC) which does not conduct because it occurs so early that the conducting system is still refractory to further beats (<strong>a blocked PAC<\/strong>). This is evident in the rhythm strip as a deformed T wave of the complex preceding the pause (P wave within the usual T wave).\n<p><a href=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2015\/09\/32.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-268 size-full\" src=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2015\/09\/32.png\" alt=\"#3\" width=\"482\" height=\"110\" srcset=\"https:\/\/torreyekg.com\/wp-content\/uploads\/2015\/09\/32.png 482w, https:\/\/torreyekg.com\/wp-content\/uploads\/2015\/09\/32-300x68.png 300w\" sizes=\"auto, (max-width: 482px) 100vw, 482px\" \/><\/a><\/p>\n<p><strong>\u201cThe most common cause of a pause during sinus <\/strong><strong>rhythm is a blocked PAC\u201d.<\/strong><\/p>\n<p><\/p><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>40-year-old woman with palpitations.<\/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-263","post","type-post","status-publish","format-standard","hentry","category-ekg-of-the-week"],"_links":{"self":[{"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/263","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/comments?post=263"}],"version-history":[{"count":2,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/263\/revisions"}],"predecessor-version":[{"id":270,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/263\/revisions\/270"}],"wp:attachment":[{"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/media?parent=263"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/categories?post=263"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/tags?post=263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}