ECG 132

ECG 132 This ECG was recorded from a 30-year-old woman admitted to hospital with diabetic ketoacidosis. Any comments?

Answer 132

This is not a technically good record, and exhibits considerable artefacts. However, the ECG shows:

• The rhythm is probably sinus, with coupled junctional extrasystoles

• P waves difficult to identify, but there are probably flattened P waves before the first of each pair of QRS complexes, best seen in lead VR

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