Thursday, August 4, 2016
A competing junctional rhythm
A competing junctional rhythm. A sinus beat starts the rhythm. The 2nd beat is a PVC or an aberrantly conducted PJC? It looks like an inverted P wave follows the QRS complex on the 2nd beat. The next three beats are junctional escape beats with inverted P waves that follow the QRS complexes. The 6th complex arrives early, a PAC. The rhythm then reverts back to sinus rhythm.