Atrial fibrillation EKG examples

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor: Cafer Zorkun, M.D., Ph.D. [2]

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Shown below is an EKG showing absent P waves and an irregularly irregular heart rate, suggestive of atrial fibrillation.



Shown below is an EKG showing absence of P waves and an irregularly irregular heart rate, suggestive of atrial fibrillation.


Shown below is an EKG with no P waves throughout the precordium, and an irregular heart rate, suggestive of atrial fibrillation. The EKG also shows a left axis deviation.


Shown below is an EKG showing absent P wave, rapid ventricular beat and irregularly irregular heart rate, suggestive of atrial fibrillation.


Shown below is an EKG showing irrregularly irregular rhythm with no P waves, suggestive of atrial fibrillation.



Shown below is an EKG showing irregularly irregular rhythm with no P waves, suggestive of atrial fibrillation.


Shown below is an EKG showing irregular heart rate with no P waves, suggestive of atrial fibrillation. It also shows premature ventricular beats and inverted T waves in leads V3, V4, V5, and V6 suggestive of recent infarction or ischemia.


Shown below is an EKG showing irregularly irregular heart rate with no P waves, suggestive of atrial fibrillation. The EKG also shows a left axis deviation and inverted T waves in lead V4, V5, and V6, suggesting a recent infarction or ischemia.


Shown below is an EKG showing irregularly irregular pulse with no P waves, suggestive of atrial fibrillation. The EKG also shows a left axis deviation and inverted T waves in leads V2, V3, V4, V5, and V6 suggestive of a recent infarction/ ischemia.


Shown below is an EKG showing irregular heart rate with no P waves, suggestive of atrial fibrillation. The EKG also shows a left axia deviation.


Shown below is an EKG showing absent P waves, suggestive of atrial fibrillation. Bradycardia is also noted.


Shown below is an EKG showing conversion of an atrial fibrillation pattern with no P waves to regular sinus rhythm with atrial P waves on cardioversion.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page


Shown below is a strip from a patient being cardioverted for atrial fibrillation. The patient was taking sotalol and coumadin. This is the first shock which was set at 150 joules and delivered via defibrillator pads placed with the positive in the V1 position and the negative on the back between the left scapula and the spine.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page


Shown below is an EKG showing irregular heart rate with no P waves, suggestive of atrial fibrillation. The EKG also shows left axis deviation.


Shown below is an EKG showing irregularly irregular pulse with no P waves, suggestive of atrial fibrillation. The EKG also shows left axis deviation.


Shown below is an EKG showing irregularly irregular pulse with no P waves, suggestive of atrial fibrillation


Shown below is an EKG showing absent P waves suggestive of atrial fibrillation along with bradycardia.


Shown below is an EKG showing irregularly irregular pulse with no P waves, suggestive of atrial fibrillation. The EKG also shows a left axis deviation.


Shown below is an EKG showing no P waves and irregularly irregular heart rate, suggestive of atrial fibrillation. The EKG also shows left axis deviation and left ventricular strain pattern with inverted T waves in leads V2, V3, V4, V5, and V6.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.



Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.



Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.



Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.



Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.



Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an electrocardiogram strip of atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation.


Shown below is an example of an EKG showing Atrial fibrillation with old LBBB


Shown below is an example of an EKG showing Atrial Fibrillation with LVH and Strain.


Shown below is an example of a low quality ECG showing atrial fibrillation. The R wave in leads V5 and V6 are greater than 35mm and there are ST/T wave changes. This is consistent with left ventricular hypertrophy.


Shown below is an EKG that shows atrial fibrillation with wide spread ST depressions suggestive of ischemia or possibly non-Q myocardial infarction. In this case there were no enzyme changes suggestive of a myocardial infarction and the changes probably represent ischemia secondary to the ventricular tachycardia terminated by the lidocaine. It is also possible that the ST changes are purely a result of the tachycardia but in this case this would seem unlikely.


The recording shows atrial fibrillation. The QRS is wide (> 120 ms.) has a left axis deviation and a large R' in V1 with a S in I and V6. The EKG shows a complete right bundle branch block and a left anterior fasicular block.


The rhythm shown below is atrial fibrillation. There are also ST/T wave changes which are nonspecific. The R wave is greater than 30 mm. in V5 suggesting left ventricular hypertrophy.


The rhythm in the EKG below is that of atrial fibrillation, and there are marked increases in the QRS deflections with an R in V6 greater than that in V5 and also greater than 35mm. There are marked ST changes in the absence of digitalis. The EKG is diagnostic of left ventricular hypertrophy. This patient has IHSS.


Sources

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/index.php?title=Special:NewFiles&dir=prev&offset=20080806182927&limit=500

References



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