I have read the ECG lessons by Hein J. Wellens
1
with great interest. The case provides an excellent answer for the 2 different P-wave
morphologies; however, the premature ventricular complex (PVC) needs further clarification.To read this article in full you will need to make a payment
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References
- Two different P waves after a single ventricular premature beat in a 33-year-old man.Heart Rhythm. 2018; 15: 1891-1892
- Idiopathic premature ventricular contractions arising from the intraventricular septum adjacent to the His bundle.Pacing Clin Electrophysiol. 2012; 35: 108-111
- Focal ventricular arrhythmias originating from the left ventricle adjacent to the membranous septum.Europace. 2010; 12: 1467-1474
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Published online: January 22, 2019
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© 2018 Heart Rhythm Society. All rights reserved.
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- Two different P waves after a single ventricular premature beat in a 33-year-old manHeart RhythmVol. 15Issue 12
- Reply to the Editor— The site of origin of the ventricular premature beat in a patient with 2 different P-wave morphologiesHeart RhythmVol. 16Issue 5
- PreviewI welcome the letter of Drs Alizadeh and Keikhavani concerning the ventricular premature beat (VPB) in our recent article1 because it gives attention to our ability to locate ectopic ventricular rhythms by giving a close look at their QRS configuration. This is an increasingly important topic in relation to treatment by catheter ablation. While discussing the site of origin of the VPB in relation to QRS configuration, they refer to publications by the clinical electrophysiology group from Birmingham, AL, that contributed extensively to that issue.
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