Saturday, May 13, 2017
Atrial fibrillation with slow ventricular response and a PVC, RBBB
The rhythm is irregularly, irregular. The rate is about 50/min. No P waves are seen. The fibrillation can be seen better in lead I. The first complex is a PVC. The RBBB is seen in lead V1. The QRS is wide (> .12 sec), there is notching of the R wave (RrS). In lead I there is slurring of the S wave due to late activation of the right side of the heart.