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Understanding the Electrocardiogram

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  2. Understanding the Electrocardiogram In Health & Disease
  3. 8.0.0 The Bradycardias frame i-introduction
  4. 8.1.0 Sinus Bradycardia and AV block (frame 1)
  5. 8.1.30 (frame 31)

8.1.32 (33)

Tracing B was recorded two hours after the tracing A (on the previous page) and tracing C was recorded the next day. In tracing B, the atrial rate has slowed to 65 (the PP interval 0.8 seconds) and there is 1:1 conduction but with a prolonged PR interval (0.24 seconds). This suggests that the high grade AV block recorded in tracing A might have been rate dependent.

In tracing C, the atrial rate is again faster (the PP interval is now 0.68 seconds, a rate of 88) and there is again high grade AV block but there is now an occasional conducted beat. The beats labeled 1,3,5 and 7 are AV junctional escape beats from an AV junctional pacemaker having a rate of 46 but beats 2 and 6 are conducted with a PR interval of 0.26 seconds. This results in the shorter RR intervals (0.98 and 1.00 seconds) associated with these beats.

Book traversal links for 8.1.32 (33)

  • 8.1.31 (32)
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  • 8.1.33 (34)

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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
  • 8.0.0 The Bradycardias frame i-introduction
    • 8.1.0 Sinus Bradycardia and AV block (frame 1)
      • 8.1.1 (2)
      • 8.1.2 (3)
      • 8.1.3 (4)
      • 8.1.4 (5)
      • 8.1.5 (6)
      • 8.1.6 (7)
      • 8.1.7 (8)
      • 8.1.8 (9)
      • 8.1.9 (10)
      • 8.1.10 (frame 11)
      • 8.1.20 (frame 21)
      • 8.1.30 (frame 31)
        • 8.1.31 (32)
        • 8.1.32 (33)
        • 8.1.33 (34)
        • 8.1.34 (35)
        • 8.1.35 (37-this is correct)
        • 8.1.36 (36)
        • 8.1.37 (38)
        • 8.1.38 (39)
        • 8.1.39 (40)
    • 8.2.0 SA Block (frame 41)
    • 8.3.0 Group Beating (frame 57)
  • 9.0.0 The ECG of Heart Murmurs-introduction
  • 10.0.0 The Electrocardiogram in the Emergency Department-Introduction
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