Interesting electrocardiograms.
نویسنده
چکیده
The ECG showed normal sinus rhythm at 65 per min., with a very short P-R interval (0.10 sec.). On the fourth beat of the first lead set (simultaneous leads I, II, III), which is marked with an arrow, there is an atrial premature, contraction. This latter beat has a low, rather flat P wave preceding the QRS with a P-R interval of 0.20 sec. The contrast between the sinus beats (with short PR) and this atrial premature beat is marked. The direction of the P wave or P vector in the sinus beats is normal and hence the short P-R does not characterize an A-V nodal rhythm. The QRS-T complexes are normal. Thus the tracing indicates sinus rhythm with pre-excitation of Lown-GanongLevine, or LGL, type. A short P-R accompanied by a prolonged QRS and delta waves (which is not the case here) identifies pre-excitation of the Wolff-Parkinson-White type (WPW).
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ورودعنوان ژورنال:
- Journal of the American Medical Women's Association
دوره 32 12 شماره
صفحات -
تاریخ انتشار 1977