6. In PVC there can be
• Compensatory Pause
• Non Compensatory Pause
• No Pause
• Next QRS complex may come earlier than
normal
7. • Not all PVCs are followed by a pause.
• If a PVC occurs early enough (especially if the
heart rate is slow), it may appear sandwiched
in between two normal beats.
• This is called an interpolated PVC.
8.
9.
10. Case # 2
• 35 yr old female
• Asymptomatic from cardiac point of view
• To be operated for gallstones
• Routine ECG showed bradycardia
11.
12. 2:1 AV BLOCK
UNDERWENT 24 HR HOLTER MONITERING HAD
INTERMITTENT CHB (CONGENITAL CHB)
MANAGEMENT??
13.
14.
15. Case # 3
• 65 yr old male
• C/O repeated episodes of palpitation
30. Case # 6
• 22 year male
• History of previous RF ablation for wide QRS
tachycardia (documents unavailable)
• Presented with breathlessness
• Echo showed LV systolic dysfunction, EF 30%
31.
32. • SLOW VT
• CAPTURE BEAT
• UNDERWENT EPS+RFA
• ASYMPTOMATIC TILL DATE
42. • The classic ECG findings in ARVD are inverted
T waves in the right precordial leads (V1-V3)
with an “epsilon wave” just after the QRS in
lead V1, representing early
afterdepolarizations or “late potentials.”
43.
44. Case # 9
• 55 year old male
• Post MI, severe LV dysfunction
• Presented with tachycardia and hypotension
