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Heart Disease  (Expert Forum)
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What is this rhythm?
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

What is this rhythm?

by mmutk, Feb 17, 2003 12:00AM
Can someone please tell me thier opinion of the heart rhythm.

It is from a 21 year old healthy male with chest pain for >3 hours. He had smallpox vaccine last Tuesday. He has a history of Hypertension and at the time of assesment was 145/98.

Does anyone notice an s-t elevelation here?
What is your opinion on this strip?

see strip here...
http://www.firemarshall.net/fs_img/rhythmstrip.jpg

by CCF-M.D.-RCJ, Feb 17, 2003 12:00AM
Mmutk,

This is a first -- and I appreciate the idea of posting information like this for us to see.

The rhythm strip show Sinus rhythm at 86 bpm.  J-point elevation (not ST segment elevation) is seen in the bottom strip.  J-point elevation is very common in young males, and is considered a "juvenile pattern" variant.

Let me preface what I have said by noting that a rhythm strip is not a reliable method for diagnosing a heart attack, but I don't see anything on this strip that appears concerning.

Hope that helps.


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