A adult patient is admitted due to GI bleed.
What is the interpretation?
The rhythm is SR with long PR interval (first degree AV block), right bundle branch block (RBBB) and showing Wenckebach periodicity (aka Mobitz I) with 4:3 AV conduction. If you rely only lead II, which is usually the monitoring lead. You will probably scratch your head. You have to utilize all available leads. Distinct P waves are marked with red arrow. The non-conducted beats are marked with black arrows.
The patient was asymptomatic and none was done for regarding the rhythm.
LBBB + Tw inversion in V1-3 + epsilon waves in V4-5 => ARVD ?ReplyDelete
I think this is RBBB and the T wave inversions are part of the RBBB. Second, upsilon waves are seen in V1 are best seen in V1-V3.ReplyDelete