Bradycardia electrocardiogram: Difference between revisions
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**The [[heart rate]] is < 60 beats per minute. | **The [[heart rate]] is < 60 beats per minute. | ||
**An upright [[P wave]] in leads I, II, and aVL. | **An upright [[P wave]] in leads I, II, and aVL. | ||
**A negative [[P wave]] in lead [[aVR]], indicates a sinus origin of the [[bradycardia]]. | **A negative [[P wave]] in lead [[aVR]], indicates a sinus origin of the [[bradycardia]].<ref name="pmid26400725">{{cite journal| author=Kundu A, Fitzgibbons TP| title=Acute symptomatic sinus bradycardia in a woman treated with pulse dose steroids for multiple sclerosis: a case report. | journal=J Med Case Rep | year= 2015 | volume= 9 | issue= | pages= 216 | pmid=26400725 | doi=10.1186/s13256-015-0701-x | pmc=4581459 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26400725 }}</ref> | ||
[[File:Sinus bradycardia .jpg|center|thumb|Electrocardiogram obtained upon admission showing sinus bradycardia at 42 beats per minute. Case courtesy by Amartya Kundu and Timothy P. Fitzgibbons{{Cite web|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4581459/|title=Acute symptomatic sinus bradycardia in a woman treated with pulse dose steroids for multiple sclerosis: a case report|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}|alt=|600x600px]] | [[File:Sinus bradycardia .jpg|center|thumb|Electrocardiogram obtained upon admission showing sinus bradycardia at 42 beats per minute. Case courtesy by Amartya Kundu and Timothy P. Fitzgibbons{{Cite web|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4581459/|title=Acute symptomatic sinus bradycardia in a woman treated with pulse dose steroids for multiple sclerosis: a case report|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}|alt=|600x600px]] |
Revision as of 15:56, 12 October 2020
Bradycardia Microchapters |
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Bradycardia electrocardiogram On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M.Umer Tariq [2] Ibtisam Ashraf, M.B.B.S.[3]
Overview
An ECG may be helpful in the diagnosis of bradycardia. An upright P wave in leads I, II, and aVL, and a negative P wave in lead aVR, indicates a sinus origin of the bradycardia. It is vital to exclude other causes of bradyarrhythmia's such as AV block.
Electrocardiogram
Resting EKG
- An ECG may be helpful in the diagnosis of bradycardia. Findings on an ECG diagnostic of bradycardia include:
- The heart rate is < 60 beats per minute.
- An upright P wave in leads I, II, and aVL.
- A negative P wave in lead aVR, indicates a sinus origin of the bradycardia.[1]
24 Hour Ambulatory Electrocardiogram Monitoring
- The diagnosis is usually made with the help of a 24-hour ambulatory electrocardiogram (ECG) or telemetry.
References
- ↑ Kundu A, Fitzgibbons TP (2015). "Acute symptomatic sinus bradycardia in a woman treated with pulse dose steroids for multiple sclerosis: a case report". J Med Case Rep. 9: 216. doi:10.1186/s13256-015-0701-x. PMC 4581459. PMID 26400725.