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)
  5. 7.4.10 (frame 132)

7.4.18 (140)

The first of wide complex beat suggests left bundle branch block and satisfies the criteria for aberrant conduction. Its coupling interval is short (0.66 seconds) and it is preceded by a long RR interval (0.96 seconds). The second of the four wide complex beats follows the first with an RR interval of 0.70 seconds. Its QRS complex is less wide than its predecessor, suggesting that the left bundle may have begun to recover its excitability and is only partially refractory. The next two wide complex beats have shorter RR intervals (0.66 and 0.58 seconds) and their QRS complexes are wider. The bundle branch block dissipates when the RR interval lengthens to 1.28 seconds. This analysis indicates that the wide complex beats are all aberrantly conducted. They are an example of rate dependent left bundle branch block.

Book traversal links for 7.4.18 (140)

  • 7.4.17 (139)
  • Up
  • 7.4.19 (141)

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)
        • 7.4.11 (133)
        • 7.4.12 (134)
        • 7.4.13 (135)
        • 7.4.14 (136)
        • 7.4.15 (137)
        • 7.4.16 (138)
        • 7.4.17 (139)
        • 7.4.18 (140)
        • 7.4.19 (141)
      • 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