Bradycardia

[paramedic_32647]

It looks like a Junctional rhythm to me with a large BBB! Just my opinion.

I was going with either of your first two thoughts. Maybe a third Degree heartblock and the atrial waves are buried into the ventricular waves. And Idioventricular rythm was my second guess, but it kind of made be second guess that because of the QRS being so narrow. As for the Junctional Rythm, I don't want to focus on that too much because of the fact there are no definate, or indefinate P-waves, whether they be, positive. negative, or absent.

Glad this has some people thinking.

Only thing about it being a third degree block is that the patient does not sound symptomatic. Most people with a 3rd degree block are going to be symptomatic.

[usalsfyre]

Most people with a 3rd degree block are going to be symptomatic.

Define symptomatic.

You'd be suprised how often patients walk around with what are "lethal" dysryhtmias according to paramedic text. Including frequent runs of V-tach, ect.

Edited August 25, 2011 by usalsfyre