Feud, Flower, and Fatal Electrocardiograms

Figures

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  Figure 1. The 12-lead electrocardiogram on admission (case 1) The 12-lead electrocardiogram shows wide QRS complexes with alternating QRS axis- RBBB- blue star, LBBB-black star; suggestive of bidirectional ventricular tachycardia.

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  Figure 2. Electrocardiogram in the monitor during the cardiovascular collapse Monitor electrocardiogram showing, bidirectional ventricular tachycardia (black and blue arrow) terminating as ventricular fibrillation (black star).

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  Figure 3. The 12-lead electrocardiogram on admission (case 2) A 12-lead electrocardiogram shows no relation between p waves and QRS complexes. The white arrows point to the series of P waves, some of which are marching through and distorting the QRS. Two QRS complex morphologies are noted. A narrow QRS complex with 100 ms duration at 1520 ms cycle length and another wide QRS complex of 130 ms at a cycle length of 1440 ms.

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  Figure 4. Flowers grown in the garden of case 2 Oleander (Nerium oleander) flower (black star) grown in her garden.

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  Figure 5. Inset of lead II above with step ladder diagram below Step ladder diagram explaining the sequences of events of atrial activity (black dot), junctional rhythm (orange dot), and ventricular ectopic (Blue dot). The step ladder image is the author's own creation.