Is there Wenckebach? An Elderly Patient with a Fall

===================================MY Arrhythmia Case by KEN GRAUER, MD (9/9/2020):===================================PREFACE: Recognition of the presence (or absence) of AV block is a common problem in emergency medicine. This case puts beginners, intermediate interpretersand experienced interpreters " to the test " in working through the etiology of this interesting rhythm.================================================The ECG that is shown in Figure-1 was obtained from an elderly patient, who was admitted to the hospital for a fall. The patient was found to be severely anemic — but was not hemodynamically unstable.In view of this history — HOW would you interpret the ECG in Figure-1?Is there AV block? IF so — HOW would you describe the conduction disturbance? IF not — WHAT is the rhythm? WHAT treatment is needed for this rhythm?Figure-1: The initial ECG in this case — obtained from an elderly patient with severe anemia (See text).My THOUGHTS on ECG #1: This is anchallenging tracing — even for experienced providers! I ’ll offer a Step-by-Step Approach for assessing this 12-lead ECG and accompanying long-lead rhythm strip. PLEASE NOTE: Less experienced providers may not follow all aspects of my explanation.That is fine!— because there is plenty to learn from this case forany level provider. Follow as much as you can. In the 2nd bullet below — I provide ...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs