2020 has served a plethora of different clinical cases where we’ve explored and analyzed fascinating conditions from Atrial Fibrillation, Wenckeback AV block to bizarre cases of dual chamber pacing. To wrap up 2020, we’ve rounded up the top 10 cases by order of popularity.
First reported as complete heart block, a closer look reveals an irregular ventricular response. Here, we look at the 2 P-wave patterns that reveal alternating Wenckebach AV block and the characteristics of the rhythm. Read more.
Reversed Wenckebach is a rare ECG finding, and can require a permanent pacemaker in certain cases. In this case study, we take a look at the characteristics of reversed Wenckebach, and how to recognize it on an ECG. Read more.
Exploring another ventricular aberration, we look at rate dependent bundle branch block, its defining characteristics, a number of important differential diagnoses & how to avoid serious misdiagnosis. Read more.
Atrial flutter or supraventricular tachycardia with block can often give the appearance of a bidirectional tachycardia. With 8 ECG examples, we explain how to identify the characteristics of a tachycardia and reach the correct conclusion. Read more.
With nocturnal pauses and bundle branch block, what is this? With 11 traces, we delve into Wenckebach and non-conducted atrial ectopics, incl differences between termination & extension, and how atrial & ventricular ectopics terminate differently. Read more.
As a rare find, Wandering Atrial Pacemaker can be mistaken for marked sinus arrhythmia with unifocal atrial ectopics. We look at the characteristics that set them apart. Read more.
Pseudo Wolff-Parkinson-White Syndrome recently had a customer suggest we had missed the diagnosis of intermittent pre-excitation (WPW Syndrome). But Assoc Prof Harry Mond explains why it’s not what it seems. Read more.
This case looks at non-physiologic atrial pacing incl major objections to single lead rate adaptive atrial pacing and why it’s NOT AAI pacing with a ventricular minimization pacing algorithm, plus other insights. Read more.
A ‘bizarre’ case of dual chamber pacing with an 80ms AV delay, called us for a second opinion! With 3 different examples, we deep dive into the relationship between atrial and ventricular pacing. Read more.
After discussing the two most common variations of reversed arm and leg leads recently, we now explore combinations of Right Arm-Right Leg Reversed, including the double twists, & all the tell-tale footprints. Read more.
In 49+ years as a practicing cardiologist, Assoc Prof Harry Mond has published 260+ published manuscripts & books. A co-founder of Cardiac Monitoring Service, he remains Medical Director and oversees 500K+ heart studies each year.
Download his full profile here.