Q; 84 year old female admitted with syncope and frequent episode of hypotension. Following EKG is obtained. What is your diagnosis (Hint - 3 marked circles) and what intervention is required in view of hemodynamic instability?
A: This is 'trifasicular' block
- Complete Right Bundle Branch Block (red)
- Left Anterior Hemiblock (Green)
- Long PR interval - first degree AV block (blue)
In view of hemodynamic instability, a temporary or may be a permanent pacemaker is needed.
