Atrial Rhythms


    66 year old female smoker.

    40 year old female with palpitations


    Question 1: N/A

    Key Findings



    -There are more than two p wave morphologies and more than two PR intervals in an irregularly irregular rhythm. The LVH cornell criteria are just barely satisfied here for a female (S in V3 plus R in aVL = 20mV)

    Coding for Boards

    -Atrial tachycardia, multifocal 

    -Ventricular premature complex

    -Left ventricular hypertrophy