I'm looking at this EKG here: http://img.photobucket.com/albums/v600/bluewind95/TTT6-SMALL1.png
This EKG was taken during an episode where an asystole of little more than 4 seconds happened during a tilt-table test. I can see where it happens in the middle line, but the top and bottom ones kind of throw me off. What is going on in this EKG strip? What do the top and bottom lines mean? Is this a completely benign thing? Or something to worry about?
Head up tilt is an established test for assessing patients with vasovagal syncope. Prolonged asystole during the test has previously been reported in patients suffering from the malignant form of this syndrome.an asystole of 4 second during the test is not a thing of concern, it can be attributed to vasovagal effect or neuro adrenergic effect, the other two lines are full of artifacts.
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