{"id":434,"date":"2016-01-18T20:29:28","date_gmt":"2016-01-18T20:29:28","guid":{"rendered":"http:\/\/torreyekg.com\/?p=434"},"modified":"2016-01-18T20:33:04","modified_gmt":"2016-01-18T20:33:04","slug":"ekg-of-the-week-15","status":"publish","type":"post","link":"https:\/\/torreyekg.com\/index.php\/2016\/01\/18\/ekg-of-the-week-15\/","title":{"rendered":"EKG of the Week #15"},"content":{"rendered":"<p><a href=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/01\/EKG15.png\" rel=\"attachment wp-att-436\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-436 size-full\" src=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/01\/EKG15.png\" alt=\"EKG15\" width=\"647\" height=\"364\" srcset=\"https:\/\/torreyekg.com\/wp-content\/uploads\/2016\/01\/EKG15.png 647w, https:\/\/torreyekg.com\/wp-content\/uploads\/2016\/01\/EKG15-300x169.png 300w\" sizes=\"auto, (max-width: 647px) 100vw, 647px\" \/><\/a><\/p>\n<p>75-year-old man presents after syncopal episode.<\/p>\n<div class=\"spoiler-wrap\"><div class=\"spoiler-head collapsed\" title=\"Expand\">Interpretation &amp; Explanation<\/div><div class=\"spoiler-body\" style=\"display: none;\">\n<p>I love this EKG! The rhythm is basically 2\u00b0 AV block, Type II\u2026but with a twist! The P waves are regular with multiple dropped beats. The conducted beats have a constant PR interval, except for the first PR interval of each group that is actually a bit longer. Maybe this is a \u201creverse Wenckebach\u201d?!<\/p>\n<p>No, actually, the initial slightly longer PR interval is likely non-conducting \u2013 the first QRS of each group is probably a junctional escape beat. Notice that the first QRS of both groups is the exact same distance from the preceding QRS, and at a rate consistent with an escape beat. Notice also that the purported escape beats are ever so slightly different in morphology compared to the normally conducted beats.<\/p>\n<p><a href=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/01\/151.png\" rel=\"attachment wp-att-438\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-438 size-full\" src=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/01\/151.png\" alt=\"151\" width=\"478\" height=\"53\" srcset=\"https:\/\/torreyekg.com\/wp-content\/uploads\/2016\/01\/151.png 478w, https:\/\/torreyekg.com\/wp-content\/uploads\/2016\/01\/151-300x33.png 300w\" sizes=\"auto, (max-width: 478px) 100vw, 478px\" \/><\/a><\/p>\n<p><\/p><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>75-year-old man presents after syncopal episode.<\/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-434","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\/434","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=434"}],"version-history":[{"count":4,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/434\/revisions"}],"predecessor-version":[{"id":440,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/434\/revisions\/440"}],"wp:attachment":[{"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/media?parent=434"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/categories?post=434"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/tags?post=434"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}