Posts tagged “EKG Triple Counting

In re Littmann et al. (2007)…

For background regarding EKG double counting and Littmann’s sign of  hyperkalemia, see March, 2012.

The following was recorded from an 82 year-old female with lethargy and malaise; electrolyte status is unknown, as is any further clinical data.

This is a 10 second strip with 9 QRS complexes; the true heart rate is thus 54bpm. The GE-Marquette 12SL interpretation algorithm has counted 163bpm, (3 x 54 = 162). Assuming that this is a result of systematic error and not coincidence, both the mechanism and significance of triple counting remain unclear.