Public Safety Training Facility
Monroe Community College
Rochester, New York
MCC Paramedic Program Case of the Month 01/05
INTERPRETATION: Sinus Rhythm with frequent PACs that are followed by echo beats. One PAC is a non-conducted PAC.
This tracing caused heated debate between many health care professionals. Some thought it was Atrial fib while others thought it was a A-V heart block. It is difficult because it requires
advanced training in arrhythmias. Most paramedics do not receive in depth education in advanced arrhythmias. We include advanced arrhythmias and Laddergram theory in our Paramedic Refreshers. May be it's time to attend one.
Echo or reciprocal beats are beats that depend on the previous beat for their existance. They are a type of one beat circus re-entry. For more information see the MCC Paramedic staff.
Click here to go back
Click here to return to Continuing Education
Back to Paramedic CME
Return to Paramedic Home Page
Updated: January 14, 2005