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To the Editor— The site of origin of the premature ventricular complex in a patient with 2 different P-wave morphologies

Published:January 22, 2019DOI:https://doi.org/10.1016/j.hrthm.2018.12.027
      I have read the ECG lessons by Hein J. Wellens
      • Wellens H.J.
      Two different P waves after a single ventricular premature beat in a 33-year-old man.
      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.
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      References

        • Wellens H.J.
        Two different P waves after a single ventricular premature beat in a 33-year-old man.
        Heart Rhythm. 2018; 15: 1891-1892
        • Yamada T.
        • Tabereaux P.B.
        • McElderry H.T.
        • Doppalapudi H.
        • Kay G.N.
        Idiopathic premature ventricular contractions arising from the intraventricular septum adjacent to the His bundle.
        Pacing Clin Electrophysiol. 2012; 35: 108-111
        • Yamada T.
        • Plumb V.J.
        • McElderry H.T.
        • Doppalapudi H.
        • Epstein A.E.
        • Kay G.N.
        Focal ventricular arrhythmias originating from the left ventricle adjacent to the membranous septum.
        Europace. 2010; 12: 1467-1474

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