{"title":"一种不规则的宽QRS复合节律","authors":"S. Pagano","doi":"10.19080/jocct.2019.12.555849","DOIUrl":null,"url":null,"abstract":"There are clearly visible sinus P-waves in the first two beats and in the last one (marked with * in Figure 1). From the third beat an irregular wide QRS complex rhythm with left bundle branch block (LBBB) morphology begins, without visible P-waves. Although the LBBB may suggest a supraventricular rhythm, the second beat is a fusion complex, revealing a ventricular origin of the wide QRS complex rhythm. On an accurate analysis indeed, the second beat has shorter PR interval and a different QRS morphology compared to the previous one (in DI lead for example it is entirely positive and slightly wider comparing to the previous one which is isodifasic and narrow).","PeriodicalId":73635,"journal":{"name":"Journal of cardiology & cardiovascular therapy","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2019-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"An Irregular wide QRS Complex Rhythm\",\"authors\":\"S. Pagano\",\"doi\":\"10.19080/jocct.2019.12.555849\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"There are clearly visible sinus P-waves in the first two beats and in the last one (marked with * in Figure 1). From the third beat an irregular wide QRS complex rhythm with left bundle branch block (LBBB) morphology begins, without visible P-waves. Although the LBBB may suggest a supraventricular rhythm, the second beat is a fusion complex, revealing a ventricular origin of the wide QRS complex rhythm. On an accurate analysis indeed, the second beat has shorter PR interval and a different QRS morphology compared to the previous one (in DI lead for example it is entirely positive and slightly wider comparing to the previous one which is isodifasic and narrow).\",\"PeriodicalId\":73635,\"journal\":{\"name\":\"Journal of cardiology & cardiovascular therapy\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-01-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of cardiology & cardiovascular therapy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.19080/jocct.2019.12.555849\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of cardiology & cardiovascular therapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.19080/jocct.2019.12.555849","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
There are clearly visible sinus P-waves in the first two beats and in the last one (marked with * in Figure 1). From the third beat an irregular wide QRS complex rhythm with left bundle branch block (LBBB) morphology begins, without visible P-waves. Although the LBBB may suggest a supraventricular rhythm, the second beat is a fusion complex, revealing a ventricular origin of the wide QRS complex rhythm. On an accurate analysis indeed, the second beat has shorter PR interval and a different QRS morphology compared to the previous one (in DI lead for example it is entirely positive and slightly wider comparing to the previous one which is isodifasic and narrow).