Dr. Smith's ECG Blog

Instructive ECGs in Emergency Medicine Clinical Content

Associate Editors:
— Pendell Meyers & Ken Grauer (2018)
— Jesse McLaren & Emre Aslanger (2022)
— Willy Frick (2024)

editors

What is this irregular supraventricular tachycardia? New K. Wang Video.

K. Wang, MD

Clinical Professor of Medicine

Cardiology Division

University of Minnesota

med.umn.edu/cardiology/faculty/wang/home.html

Here is the main tracing in high resolution:

Previous Article

Large Transmural STEMI with Myocardial "Rupture" of Ventricular Septum

Next Article

Found a great site for beginners in ECG, also good for experienced readers!

View Comments (5)
  1. Jerry W. Jones, MD FACEP FAAEM

    Very informative and well-presented. Is there any way to enlarge the ECG or down load a larger copy to more easily follow along?

    1. I have never seen that chart that he is using. What is that called and where can I get more information about how to use it?

    2. It's called a ladder diagram and simply consists of spaces (columns) A for conduction in the atria, AV for conduction in the AV junction and V for conduction in the ventricles. A vertical or slanted bar in each column implies a conduction or depolarization has taken place there. It's a convenient diagram which allows us to see what happened in the conduction system, i.e. what's connected with what, what's not connected ( dissociated), what's blocked, etc. One can have more columns such as a column for SA node, divide AV column into upper and lower AV junction, a column for His bundle, etc. Many ECG text books use this diagram.
      K. Wang.

  2. Thanks , this is very instructive ! why are the T waves negatives in inferolateral leads ?

Leave a Comment

Your email address will not be published. Required fields are marked *