Dr. Smith's ECG Blog

Instructive ECGs in Emergency Medicine Clinical Content

Associate Editors:
— Pendell Meyers & Ken Grauer (2018)
— Jesse McLaren & Emre Aslanger (2022)
— Willy Frick (2024)

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What is the rhythm? Also, now on Twitter: smithECGBlog

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Here is a rhythm strip.  What is the rhythm?

This (above and below) also is from Dr. Wang’s Atlas of Electrocardiography, with permission.

It is same as the last post.  AV nodal rhythm with reverse Wenckebach, this time the R-P is normal, then prolonged, then drops, as outlined in the graphic below:

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Take a look at this prehospital ECG:

View Comments (2)
  1. Thanks for very nice cases.But i still dont understand why P in Retrograde conduction is positive? Cant you help me.

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