Thursday, June 15, 2017

Case Study - Complete 3rd Degree Heart Block

An 80-year-old woman, who had previously had a few attacks of dizziness, fell and broke her hip. She is  found to have a slow pulse, and her ECG is shown below. The surgeons want to operate as soon as possible but the anesthetist is unhappy.



What does the ECG show and what should be done?

The ECG shows:
• Complete heart block
• Ventricular rate 45/min

Clinical interpretation
In complete heart block there is no relationship between the P waves (here with a rate of 70/min)
and the QRS complexes.
The ventricular 'escape' rhythm has wide QRS complexes and abnormal T waves.

What to do

In the absence of a history suggesting a myocardial infarction, this woman almost certainly has chronic heart block: the fall may or may not have been due to a Stokes-Adams attack. She needs a
permanent pacemaker, ideally immediately to save the morbidity of first temporary, and then
permanent, pacemaker insertion. If permanent pacing is not possible immediately, a temporary
pacemaker will be needed pre-operatively.

Diagnosis: Complete (third degree) heart block.

2 comments:

  1. Good day to all viewer online am so happy sharing this great testimony on how i was checking for solution in the internet then miraculously i came Across Dr.Aire the powerful herbalist that Cure Numerous individuals Herpes Simplex Virus,so I contacted him base on the testimonies I?m seeing about him on the internet, I was cured too by him, kindly contact him actoday through his email he can help you email ; drairehome@gmail.com OR WHATSAPP +2347036740271

    ReplyDelete
  2. All thanks to Dr Alli for curing my herpes virus/hpv with his herbal medicine, i do not have much to say but with all my life i will forever be grateful to him and God Almighty for using Dr Alli to reach me when i thought it was all over, today i am happy with my life again after the medical doctor have confirmed my HERPES SIMPLEX VIRUS / HPV of 5 is gone,i have never in my life believed that HERPES SIMPLEX VIRUS could be cured by herbal medicine. so i want to use this means to reach other persons who have this disease by testifying the power of Dr Alli that all hope is not lost yet, try and contact him by any means for any kind of disease with his email: ( Allispellhelp1@gmail.com ) or his whatsapp number +2348100772528 and get your healing

    ReplyDelete