
Is this V-pacing with underlying A. fib?
My read is that there is Ventricular pacing, but no underlying p waves, suggesting atrial fibrillation. The ST changes are likely due to pacing. Any other thoughts?
u/Ok-Pick8593 — 5 days ago

My read is that there is Ventricular pacing, but no underlying p waves, suggesting atrial fibrillation. The ST changes are likely due to pacing. Any other thoughts?
Help me improve! My read: Sinus tachycardia, left bundle branch block with occasional PVCs. T wave inversions in lateral leads as expected in LBBB. NO significant ST changes. Normal axis. Normal PR interval. Normal R wave progression. No pathological Q waves. So really, just sinus tachycardia with LBBB. Am I missing anything? Thanks in advance!
I’m a non-cardiologist trying to improve. Will pay per EKG. I will give my interpretation, then you advise/correct. Obviously no patient identification, no Dr. patient relationship, etc. Thanks in advance!