All ECG 4
1. Atrial fibrillation with a slow ventricular response
2. Digoxin ECG changes
3. Premature supraventricular beat (first complex on ECG)
This ECG demonstrates the typical "reverse check" or "reverse tick" sign seen in the setting of digoxin therapy. Atrial fibrillation with a slow ventricular response is one of the more common rhythms seen in the setting of digoxin toxicity. Click below for a detailed review of digoxin toxicity and ECG findings associated with it.