Sick sinus syndrome EKG examples: Difference between revisions
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'''For the main page on sick sinus syndrome, click [[Sick sinus syndrome|here]].''' | '''For the main page on sick sinus syndrome, click [[Sick sinus syndrome|here]].''' | ||
==EKG examples== | ==EKG examples== | ||
Shown below is an EKG demonstrating sick sinus syndrome - atrial fibrillation (irregularly irregular rhythm) stopping abruptly. | |||
[[Image:SSS ecg 001.jpg|center|800px]] | |||
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Electrocardiogram shown below is recorded in a middle-aged woman treated for [[atrial fibrillation]]. The patient was doing well when this [[electrocardiogram]] was taken, and was taking [[digoxin]] and [[flecainide]] . The [[electrocardiogram]] shows an irregular rhythm which appears to be sinus. The grouping of the [[QRS]] complexes suggests a [[Mobitz type I AV block]]. In this case though, no [[AV block]] is seen and this may represent a '''[[sinus node exit block]]'''. | |||
[[Image:Sinus node exit block.jpg|center|800px]] | |||
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EKG shown below is a recording from a middle aged woman with recurrent [[atrial fibrillation]]. She was treated with [[flecainide]] with some improvement of her symptoms. The above is a recording taken in the cardiac clinic. It shows group beating with sinus rhythm. There are missing P waves. This suggests that there is sinus node arrest or that this is sinus node exit block. | |||
[[Image:Sanodearrest.jpg|center|800px]] | |||
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Shown below is an EKG showing the termination of a supraventricular tachycardia at about 130/min. which terminates and leaves a pause and then sinus bradycardia. This is a from of "tachy/brady" syndrome where a tachycardia is followed by a bradycardia. | |||
[[File:Sick sinus syndrome 1.jpg|center|800px]] | |||
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Below is a Holter recording from a patient that illustrates a bradycardia after the termination of a tachycardia. This has been called the "tachy/brady syndrome". In this case the tachy part is atrial fibrillation, which is followed by a long pause and then a nodal escape at about 35/min. Patients are often symptomatic from the pause and may have dizziness or syncope on termination of the tachycardia. | |||
[[File:Sick sinus syndrome5.jpg|center|800px]] | |||
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==Sources== | ==Sources== | ||
Copyleft images obtained courtesy of ECGpedia, http://en.ecgpedia.org/index.php?title=Special:NewFiles&offset=&limit=500 | Copyleft images obtained courtesy of ECGpedia, http://en.ecgpedia.org/index.php?title=Special:NewFiles&offset=&limit=500 | ||
Revision as of 19:16, 16 October 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
For the main page on sick sinus syndrome, click here.
EKG examples
Shown below is an EKG demonstrating sick sinus syndrome - atrial fibrillation (irregularly irregular rhythm) stopping abruptly.
Electrocardiogram shown below is recorded in a middle-aged woman treated for atrial fibrillation. The patient was doing well when this electrocardiogram was taken, and was taking digoxin and flecainide . The electrocardiogram shows an irregular rhythm which appears to be sinus. The grouping of the QRS complexes suggests a Mobitz type I AV block. In this case though, no AV block is seen and this may represent a sinus node exit block.
EKG shown below is a recording from a middle aged woman with recurrent atrial fibrillation. She was treated with flecainide with some improvement of her symptoms. The above is a recording taken in the cardiac clinic. It shows group beating with sinus rhythm. There are missing P waves. This suggests that there is sinus node arrest or that this is sinus node exit block.
Shown below is an EKG showing the termination of a supraventricular tachycardia at about 130/min. which terminates and leaves a pause and then sinus bradycardia. This is a from of "tachy/brady" syndrome where a tachycardia is followed by a bradycardia.
Below is a Holter recording from a patient that illustrates a bradycardia after the termination of a tachycardia. This has been called the "tachy/brady syndrome". In this case the tachy part is atrial fibrillation, which is followed by a long pause and then a nodal escape at about 35/min. Patients are often symptomatic from the pause and may have dizziness or syncope on termination of the tachycardia.
Sources
Copyleft images obtained courtesy of ECGpedia, http://en.ecgpedia.org/index.php?title=Special:NewFiles&offset=&limit=500