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ECG library

Ventricular paced rhythm

core
25 mm/s · 10 mm/mV · synthetic tracing
100%
IIIIIIaVRaVLaVFV1V2V3V4V5V6
II (rhythm)
Calipers:2000 ms50.0 small boxes30 bpm if R-RDrag the orange markers. One small box = 40 ms.

Key findings

  • Pacing spikes
  • Wide LBBB-like QRS
  • Fixed rate

Learning points

  • Find the spike: it is small, sharp, and easy to miss at standard gain.
  • Failure to capture (spikes without QRS) and failure to sense are the two malfunction patterns to name.

Connected