Skip to main content
Home
Understanding the Electrocardiogram

Main navigation

  • Home
  • Understanding ECGs
    • Introduction
User account menu
  • Log in

Breadcrumb

  1. Home
  2. Understanding the Electrocardiogram In Health & Disease
  3. 7.0.0 Tachycardias- Introduction
  4. 7.4.0 Wide Complex Beats and Rhythms (frame 122)

7.4.4 (126)

Now study the interval, or pause, between the premature wide QRS complex labeled #1 and the following sinus beat. As shown in the ladder diagram below the ECG strip, this post extrasystolic pause measures 1.00 seconds and is greater than both the normal RR interval of 0.72 seconds and the 0.80 second pause that follows the aberrantly conducted beat (#2). The reason for this difference is that the ventricular premature beat (#1) is followed first by a non-conducted sinus P wave (arrow) with a PP interval of 0.72 seconds and then by normally conducted P wave with the same PP interval. Note that the interval between the normally conducted QRS complexes that precede and follow the ventricular premature beat (1.44 seconds) is equal to two normal RR intervals. This indicates that the post extrasystolic pause is fully compensatory, i.e. is a compensatory pause.

Book traversal links for 7.4.4 (126)

  • 7.4.3 (125)
  • Up
  • 7.4.5 (127)

Site is under construction

Book navigation

  • Introduction to First Edition
  • 1.0.0 Generation of the ECG
  • 2.0.0 The Normal Electrocardiogram
  • 3.0.0 Inter and intra-ventricular Conduction Disturbances
  • 4.0.0 Ventricular Hypertrophy
  • 5.0.0 ELECTROLYTE ABNORMALITIES, DRUG EFFECTS AND THE LONG QT SYNDROMES
  • 6.0.0 Ischemia and Infarction - Introduction (frame i and ii)
  • 7.0.0 Tachycardias- Introduction
    • 7.1.0 Mechanisms of arrhythmias-frame 1
    • 7.2.0 Narrow Complex Rhythms (frame 38)
    • 7.3.0 Atrial Flutter and Fibrillation (frame 93)
    • 7.4.0 Wide Complex Beats and Rhythms (frame 122)
      • 7.4.1 (123)
      • 7.4.2 (124)
      • 7.4.3 (125)
      • 7.4.4 (126)
      • 7.4.5 (127)
      • 7.4.6 (128)
      • 7.4.7 (129)
      • 7.4.8 (130)
      • 7.4.9 (131)
      • 7.4.10 (frame 132)
      • 7.4.20 (frame 142)
      • 7.4.30 (frame 154)
      • 7.4.40 (frame 163)
  • 8.0.0 The Bradycardias frame i-introduction
  • 9.0.0 The ECG of Heart Murmurs-introduction
  • 10.0.0 The Electrocardiogram in the Emergency Department-Introduction
Powered by Drupal