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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Sinus rhythm with frequent PACs with aberrant conduction

Sinus rhythm with frequent PACs with aberrant conduction
Sinus rhythm with frequent PACs with aberrant conduction.
(A) Lead V1 and lead II rhythm strips show sinus rhythm with the 1st, 3rd, 5th, 7th, 9th, and 11th beats preceded by normal sinus P waves. The 2nd, 4th, 6th, 8th, 10th, and 12th beats are all PACs. However, while the 4th, 10th, and 12th beats conduct normally, the 2nd, 6th, 8th, and 12th beats conduct with a wide QRS complex due to aberrant conduction with a RBBB morphology evident in lead V1. In lead II, the aberrantly conducted PACs have a similar appearance to normally conducted PACs except for a deep terminal S wave and some QRS widening due to the rate-related RBBB.
(B) Lead V1 and lead II rhythm strips show sinus rhythm with a PAC with aberrant conduction (3rd beat) and with an interpolated PVC (8th beat).
PACs: premature atrial complexes; RBBB: right bundle branch block; PVC: premature ventricular complex.
Graphic 132178 Version 1.0

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