What Do You Think 13

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What Do You Think 13

Author

Assoc Prof Harry Mond

Published

March 12, 2025

74-year old blind professional hang glider.

What do you think?

  • Sinus rhythm
  • Ventricular stimulus artefacts (red arrows)with paced QRS complexes (red highlight).
  • Ventricular ectopics in bigeminy

 Dual chamber pacing and ventricular bigeminy

What did I learn?

In any ECG, a left bundle branch block configuration is ventricular pacing until proven otherwise.

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