Case 2 ECG Posted February 6, 2019 and was most accurately diagnosed by Luisa Sierra, RN

This ECG was recorded from a 56 year old man complaining of palpitations and being light headed.  What is your diagnosis?  

Answer:        1)  Atrial flutter (atrial rate 330/min) with mostly 2:1 AV conduction
                             (4:1 on two occasions).
                        2)  Right bundle branch block
                       
This case will be left live for 10 days for those who wish to study it.  See Case 3 ECG Posted February 28, 2019 just below. 

ECG Quiz Case Studies for all Cardiac Practitioners 

We are currently posting Advanced ECGs but plan to open to Basic and 12-Lead Intermediate levels soon.  Anyone who wants to try their hand at the diagnoses are welcome to join in the fun.  The person who makes the diagnosis first will be listed as the winner for the ECG they diagnose correctly.  Then the full diagnosis by our Expert Jonni Cooper will be posted for all to review for 10 days before it is removed and another case posted in its place.  Therefore there will always be a current case to diagnose with one that has been diagnosed to folks who tried can see the correct answer.  Open to suggestion for this section.   

Case Study 2 Answer 

Answer:        1)  Atrial flutter (atrial rate 330/min) with mostly 2:1, and 4:1                             conduction ratios  
                             
                        2)  Right bundle branch block