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Welcome to another MedCram lecture were gonna talk about this EKG and try to get to the right diagnosis so this is a 48 year old gentleman who presents to the emergency room with about a 24 hour onset of progressive dyspnea shortness of breath and chest pain our meticulous organized way of going through this EKG is as we recall rate rhythm and then access and then well get to the special things at that point so the first thing we want to do is figure out the rate and Ive left some of the numbers up here so we can check it later Ive also left the interpretation on this EKG the first thing we want to do is look here at the QRS and lead one and you can see here that it starts right at this box and theres a little bit of space between there and here so if we count up those boxes we get about two and a half boxes so when we know the number of boxes between the QRS complexes we simply take 300 and we divide it by 2.5 boxes and the number that we get is equal to about 120 and thats goi
