Case of the Month

Tachycardic ECG 2018-03-29T13:01:01+00:00

Project Description

Tachycardic ECG

A female patient with a neurodegenerative disorder and severe dystonia is brought in by ambulance from a nursing home to your emergency department. She is neurologically severely impaired; she is non-ambulatory, non-verbal with preserved consciousness and social non-verbal communication. The ECG-strip shows a heartrate of 230/min with a fibrillation-like pattern. Defibrillation pads were applied and the heart rhythm was double checked by switching to pad-leads.

ECG

What is your diagnosis?


Clinical picture

Blue rectangles: location of defibrillator pads
Circles: ECG-Electrodes
A- implanted neurostimulator
B- Baclofen pump
C- gastrostomy tube.
Along the red dotted line you palpate a subcutaneous wire.

Why did the ECG show an artefact?


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