Today's Medical Mysterie

[George K]

A guy with history of syncope passes out at the kitchen table while wearing a monitor. Can you guess why?

The answer:

[Mik]

Yeah, his heart's not beating so he has no oxygen. He's in afib.

[George K]

@mik said in Today's Medical Mysterie:

He's in afib.

Actually no.

Sinus arrest, and asystole, followed by junctional escape in the fourth panel (at a rate of about 20). In the 5th panel you can see the sinus kick in, just before the junctional beat (3rd beat). Then, sinus rhythm.

I just thought it was funny because of the "no squiggles" comment.

[Mik]

Now you're just showing off.

[Catseye3]

@george-k said in Today's Medical Mysterie:

Then, sinus rhythm.

But can you dance to it?

[Aqua Letifer]

@catseye3 said in Today's Medical Mysterie:

@george-k said in Today's Medical Mysterie:

Then, sinus rhythm.

But can you dance to it?

"Sinus Rhythm" is a Rush song. So, no.

[George K]

@mik said in Today's Medical Mysterie:

Now you're just showing off.

Indeed. I used to be really, really good at arrhythmias. This one's pretty simple (though many might miss that almost-hidden P-wave in the 5th panel, I mentioned).

@Catseye3 said

can you dance to it?

I have.

Link to video

[bachophile]

@george-k said in Today's Medical Mysterie:

@mik said in Today's Medical Mysterie:

He's in afib.

Actually no.

Sinus arrest, and asystole, followed by junctional escape in the fourth panel (at a rate of about 20). In the 5th panel you can see the sinus kick in, just before the junctional beat (3rd beat). Then, sinus rhythm.

I just thought it was funny because of the "no squiggles" comment.

I don’t get it. I thought the no squiggles comment was absolutely correct.

Must be an anesthesia thing.