Isoelectric PVC Mimicking AV Block!
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| Auteurs principaux: | , , , , , , , , |
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| Format: | Recurso digital |
| Langue: | anglais |
| Publié: |
Zenodo
2025
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| _version_ | 1866902299992915968 |
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| author | Parks, Alexis Nagaraj, Sanchitha As Sayaideh, Mohammad Malik, Hajira Ruiz, Brent Odigwe, Celestine Omar, Bassam Manoharan, Suganya Malozzi, Christopher |
| author_facet | Parks, Alexis Nagaraj, Sanchitha As Sayaideh, Mohammad Malik, Hajira Ruiz, Brent Odigwe, Celestine Omar, Bassam Manoharan, Suganya Malozzi, Christopher |
| contents | <p><span>The above electrocardiogram (ECG) was obtained due to pauses reported on telemetry. Figure A is lead II (simulating telemetry lead configuration) showing what seemed to be an unconducted atrial beat (red arrow), which marched with the underlying sinus P waves, concerning for Mobitz II second degree atrioventricular (AV) block, versus an unconducted premature atrial contraction (PAC), given the slightly different morphology compared to sinus P waves. Figure B, the 12-lead ECG, demonstrates that this complex was in fact an isoelctric premature ventricular contraction (PVC), as seen in other precordial leads (blue arrows). Figure C shows the limb lead pattern of the PVC (green arrows), yielding a – 30</span><span><span>°</span></span><span> axis, causing it to be isoelctric in lead II, mimicking an unconducted atrial activity on telemetry. </span></p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_17283320 |
| institution | Zenodo |
| language | eng |
| publishDate | 2025 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | Isoelectric PVC Mimicking AV Block! Parks, Alexis Nagaraj, Sanchitha As Sayaideh, Mohammad Malik, Hajira Ruiz, Brent Odigwe, Celestine Omar, Bassam Manoharan, Suganya Malozzi, Christopher Isoelectric PVC; Atrioventricular Block; Arrhythmia, Artifact <p><span>The above electrocardiogram (ECG) was obtained due to pauses reported on telemetry. Figure A is lead II (simulating telemetry lead configuration) showing what seemed to be an unconducted atrial beat (red arrow), which marched with the underlying sinus P waves, concerning for Mobitz II second degree atrioventricular (AV) block, versus an unconducted premature atrial contraction (PAC), given the slightly different morphology compared to sinus P waves. Figure B, the 12-lead ECG, demonstrates that this complex was in fact an isoelctric premature ventricular contraction (PVC), as seen in other precordial leads (blue arrows). Figure C shows the limb lead pattern of the PVC (green arrows), yielding a – 30</span><span><span>°</span></span><span> axis, causing it to be isoelctric in lead II, mimicking an unconducted atrial activity on telemetry. </span></p> |
| title | Isoelectric PVC Mimicking AV Block! |
| topic | Isoelectric PVC; Atrioventricular Block; Arrhythmia, Artifact |
| url | https://doi.org/10.5281/zenodo.17283320 |