Become a Resus Member for FREE! Get access to Resus learning resources and learn about upcoming events SUBSCRIBE [email protected]

75 Year Old Male Who Feels Faint

Advertise Your Event

Do you have an upcoming event that your would like to share with colleagues? We would love to hear from you!

Click on the “contact” button below, fill out the details in the pop-up and hit “submit”.

Subscribe to Resus

Get the latest updates on our Conferences PLUS our Webcasts and Education Newsletters. And it's FREE!

  • We respect your privacy
  • This field is for validation purposes and should be left unchanged.

Register Now:

The Primary Exam
Learn More
Emcore
Learn More

A 75 year old male is brought to the emergency department because he was feeling faint this morning. They report that he is bradycardic with a blood pressure of 95/60. He is afebrile, and has a GCS of 15. You are shown his ECG. Please diagnose.

Using ECG in 20 seconds approach, we assume an arrhythmia.

Is it sinus? There are P waves, inverted in aVR and upright in II, however no relationship between the p’s and QRS’s, ie there dissociation. Here is the diagnosis 3rd degree block.
QRS: There is right bundle branch block.
Axis: Left axis – so a biphasicular block
ST-T: There is T wave inversion and characteristics of hypertrophy
PR/QT: PR is long in some cases as dissociated and QT is normal.
This is a 3rd degree AV block. The patient needs a pacemaker.

admin

Leave a Comment