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Doctor insights on: Interpreting Cardiac Rhythm Strips

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Dr. Crystal Twynham
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28 years in practice
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Dr. Crystal Twynham
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Dr. Shari Jackson
5 doctors shared insights

Cardiac (Definition)

Cardiac is ...Read more


Dr. John Garner
Board Certified, Cardiology
11 years in practice
1M people helped
2

2
I recently wore a monitor for palpitations. Can you translate these results please? 1). Tha basic cardiac rhythm was sinus with episodes of cardiac arrhythmia (pr 0.14 sec). 2) patient events were at times associated with ectopy and heart rate of 6

Dr. John Garner
Board Certified, Cardiology
11 years in practice
1M people helped
I recently wore a  monitor for palpitations. Can you translate these results please?  1). Tha basic cardiac rhythm was sinus with episodes of cardiac arrhythmia  (pr 0.14 sec).     2) patient events were at times associated with ectopy and heart rate of 6

Sorry :(: Your question gets cut off after a certain number of characters so we don't have all the read. It sounds, though, like you had some extra heartbeats at the time you pressed the "record" button. This may explain what you felt at those times. ...Read more

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Dr. Crystal Twynham
Board Certified
28 years in practice
931K people helped
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Dr. Crystal Twynham
Board Certified
28 years in practice
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Dr. Robert Morse
Board Certified, Cardiology
25 years in practice
59K people helped
3

3
Can s3 and s4 heart sounds be seen on an ECG rhythm strip? If so, do you have examples?

Dr. Robert Morse
Board Certified, Cardiology
25 years in practice
59K people helped
Can s3 and s4 heart sounds be seen on an ECG rhythm strip? If so, do you have examples?

No: Ecg records electrical activity. S3 and s4 are sounds so you would have to listen to with a stethoscope. ...Read more

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Dr. Kevin Nolan
Board Certified, Vascular Surgery
30 years in practice
445K people helped
4

4
Would my two-lead event monitor pick up ischemia in normal rhythm (ie be able to identity if pain episodes are cardiac), or just rhythm abnormalities?

Dr. Kevin Nolan
Board Certified, Vascular Surgery
30 years in practice
445K people helped
Would my two-lead event monitor pick up ischemia in normal rhythm (ie be able to identity if pain episodes are cardiac), or just rhythm abnormalities?

Monitor/chest pain: The monitor is designed to pick about your rhythms it does not directly detect ischemia. ...Read more

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Dr. Crystal Twynham
Board Certified
28 years in practice
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Dr. Charles Saha
Board Certified, Gastroenterology
23 years in practice
128K people helped
5

5
I swear, i felt my heart stop before i passed out. I'm quite familiar with rapid heart rhythm, but not with such a cardiac arrest? What is that?

Dr. Charles Saha
Board Certified, Gastroenterology
23 years in practice
128K people helped
I swear, i felt my heart stop before i passed out. I'm quite familiar with rapid heart rhythm, but not with such a cardiac arrest? What is that?

Heart beat: Patients who have episodes of syncope should have an evaluation by a cardiologist. Tests that are usually performed in addition to blood testing include an echocardiogram and a holter monitor test. ...Read more

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Dr. Luke Hermann
Board Certified, Emergency Medicine
20 years in practice
286K people helped
6

6
Why is ventricular fibrillation the most common rhythm of cardiac arrest?

Dr. Luke Hermann
Board Certified, Emergency Medicine
20 years in practice
286K people helped
Why is ventricular fibrillation the most common rhythm of cardiac arrest?

Final pathway: Ventricular fibrillation is the final step before a heart stops beating. Any heart that has not gotten enough blood flow or oxygen for a prolonged period of time will begin fibrillating followed shortly by asystole (no beating at all). In a sense, ventricular fibrillation is the final step every heart likely goes through before it stops beating. ...Read more

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Dr. ARMAN Askari
Board Certified, Cardiology
19 years in practice
112K people helped
7

7
What are the differences between a ECG (ekg) strip recorder and a cardiac monitor?

Dr. ARMAN Askari
Board Certified, Cardiology
19 years in practice
112K people helped
What are the differences between a ECG (ekg) strip recorder and a cardiac monitor?

Not much: In general, they all assess the electrical activity of the heart. They differ in the number of leads they have and in the circumstances one would use them. The higher the number of leads the better the assessment of the electrical system and clues to the anatomy of the heart. ...Read more

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Dr. Jason Rubenstein
Board Certified, Cardiology
15 years in practice
198K people helped
8

8
Do you know if ventricular fibrillation is the most common rhythm during cardiac arrest?

Dr. Jason Rubenstein
Board Certified, Cardiology
15 years in practice
198K people helped

No.: The initial rhythm causing a cardiac arrest is most usually monomorphic ventricular tachycardia (62%), followed by bradycardia (17%), then polymorphic VT (13%) and finally primary vf (8%). Most of these rhythms will eventually degenerate into vf, however. ...Read more

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Dr. Calvin Weisberger
Board Certified, Cardiology
46 years in practice
30M people helped
9

9
How do a ECG (ekg) strip recorder and a cardiac monitor differ?

Dr. Calvin Weisberger
Board Certified, Cardiology
46 years in practice
30M people helped
How do a ECG (ekg) strip recorder and a cardiac monitor differ?

ECG : The strip recorder is the printer for the monitor. ...Read more

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Dr. Pasala Ravichandran
Board Certified, Thoracic Surgery
39 years in practice
420K people helped
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