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002 Sinus Rhythm, atrial rate 90 Mobitz II - Blaufuss Multimedia

002 Sinus Rhythm, atrial rate 90 Mobitz II - Blaufuss Multimedia

002 Sinus Rhythm, atrial rate 90 Mobitz II - Blaufuss Multimedia

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Copyright © 2006 <strong>Blaufuss</strong> <strong>Multimedia</strong>. All rights reserved. Page 14<br />

081 <strong>Sinus</strong> Bradycardia, <strong>atrial</strong> <strong>rate</strong> 40<br />

Junctional Escape <strong>Rhythm</strong>, <strong>rate</strong> 46<br />

Resulting A-V Dissociation (by "default")<br />

a) P and QRS at different <strong>rate</strong>s and rhythms, ventricular <strong>rate</strong> faster than <strong>atrial</strong><br />

b) P-P intervals constant (1500 msec or 40 bpm)<br />

c) R-R intervals without preceding P waves similar (1265 to 1305 msec)<br />

Note: This ECG resembles 056 in that both have sinus bradycardia combined with a junctional<br />

rhythm with resulting AV Dissociation with ventricular <strong>rate</strong> faster than <strong>atrial</strong>. Although the sinus<br />

node-originated QRS complexes (e.g., short R-R intervals preceded by p waves in beats 3, 6,<br />

and 9) are different in appearance, all of the complexes are supraventricular in origin (QRS<br />

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