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.

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