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Clinical case studies

Exotic ventricular ectopy part one

A look at exotic ventricular ectopy this week, with 8 different examples, their footprints and the veritable kaleidoscope of findings that may result.

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Clinical case studies

Unusual ventricular ectopy

A controversial one this week: AFib with ventricular bigeminy. Or is it? Exploring trigeminy, ventricular parasystole, pseudo-ventricular parasystole and other possibilities, this one is sure to divide opinion.

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Clinical case studies

Exotic atrial ectopy part two

In the final part of this 2-part series, Assoc Prof H Mond further explores the different forms of atrial ectopy including the atrial couplet, triplet, run & non-conducted types.

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Clinical case studies

Exotic atrial ectopy part one

In part one of a two part series, Assoc Prof H Mond explores exotic atrial ectopy in all its forms, including the anatomy and characteristics of 12 different examples.

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Clinical case studies

Twisted Leads for Twisted Minds

Assoc Prof Mond shares this case to delve into unusual and classical patterns of twisted leads in 12-lead ECG, including the double twist, and shares the tell-tale footprints of all.

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Clinical case studies

Unusual AV Wenckebach

Assoc Prof Harry Mond identifies a plethora of insights that come with studying Wenckebach sequences. This week, a definitely not boring look into atrioventricular (AV) and non-AV types, and how it’s all in the timing!

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Clinical case studies

Managed ventricular pacing

A ‘bizarre’ case of dual chamber pacing with an 80ms AV delay, called us for a second opinion! With examples of a) Atrial pacing at 50 bpm and prolonged AV delay b) Wenckebach AV block; & Ventricular paced beat after 2 secs, we deep dive...

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Clinical case studies

Is this artefact?

This week MD Assoc Prof H Mond examines the similarities between the characteristics of artefact vs non-atrioventricular Wenckebach blocks and the importance of recognising footprints for correct diagnosis.

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Clinical case studies

Rate dependent bundle branch block

Exploring another ventricular aberration this week, we look at rate dependent bundle branch block, its defining characteristics, a number of important differential diagnoses and how to avoid serious misdiagnosis.

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Clinical case studies

Sino-atrial Wenckebach

With a pause about twice the cycle length of the R to R intervals and no P, QRS or T waves, this case tackles one of the most difficult explanations in ECG interpretation and demands a revisit to the fundamentals or “footprints” of Wenckebach AV...

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