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ECG Exercise 26 - Dude is this sinus?…Part 2
ECG Exercise 26 - Dude is this sinus?…Part 2

ECG Exercise 26 - Dude is this sinus?…Part 2

Last updated 12/26/25

It’s flu season and everyone in the ED including staff is tachycardic. You’re clawing your way through the last 10 minutes of a 3-11pm shift when you feel a tap on your shoulder. You turn around and find the local orthopedic surgeon handing you the following ECG and asking, “Dude, is this sinus?”

ECG 1

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Is this sinus rhythm? If not, what is the arrhythmia?
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ECG-0161

ECG 2

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Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG-0162

ECG 3

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Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 429

ECG 4

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Is this sinus rhythm? If not, what is the arrhythmia?
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ECG-0188

ECG 5

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Is this sinus rhythm? If not, what is the arrhythmia?
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ECG 739

ECG 6

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Is this sinus rhythm? If not, what is the arrhythmia?
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ECG-0498

ECG 7

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Is this sinus rhythm? If not, what is the arrhythmia?
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ECG 1015

ECG 8

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 803

ECG 9

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 1375

ECG 10

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Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 632

ECG 11

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 657

ECG 12

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‣
Is this sinus rhythm? If not, what is the arrhythmia?

ECG 13

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Is this sinus rhythm? If not, what is the arrhythmia?
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ECG 1169

ECG 14

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Is this sinus rhythm? If not, what is the arrhythmia?
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ECG 590

ECG 15

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
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ECG 1297

ECG 16

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 862

ECG 17

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 359

ECG 18

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 740

ECG 19

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 1346

ECG 20

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG-0652

ECG 21

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‣
Is this sinus rhythm? If not, what is the arrhythmia?

ECG 22

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 642

ECG 23

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 1015

ECG 24

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 118

ECG 25

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Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 997

ECG 26

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 1210

ECG 27

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 416

ECG 28

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 1398

ECG 29

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 1125

ECG 30

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 632

ECG 31

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 83

ECG 32

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 464

ECG 33

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 456

ECG 34

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG-395

ECG 35

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‣
Is this sinus rhythm? If not, what is the arrhythmia?

ECG 36

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 288

ECG 37

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 37

ECG 38

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 401

ECG 39

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‣
Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG 328

ECG 40

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Is this sinus rhythm? If not, what is the arrhythmia?
‣
ECG-738

This post is for education and not medical advice.