A look at exotic ventricular ectopy this week, with 8 different examples, their footprints and the veritable kaleidoscope of findings that may result.

A controversial one this week: AFib with ventricular bigeminy. Or is it? Exploring trigeminy, ventricular parasystole, pseudo-ventricular parasystole and other possibilities, this one is sure to divide opinion.

In the final part of this 2-part series, Assoc Prof H Mond further explores the different forms of atrial ectopy including the atrial couplet, triplet, run & non-conducted types.

In part one of a two part series, Assoc Prof H Mond explores exotic atrial ectopy in all its forms, including the anatomy and characteristics of 12 different examples.

This week we explore the different types of T wave changes in different leads and how to correctly diagnose non-specific T wave flattening and changes. It’s about what catches the eye!

Assoc Prof Mond shares this case to delve into unusual and classical patterns of twisted leads in 12-lead ECG, including the double twist, and shares the tell-tale footprints of all.

A ‘bizarre’ case of dual chamber pacing with an 80ms AV delay, called us for a second opinion! With examples of a) Atrial pacing at 50 bpm and prolonged AV delay b) Wenckebach AV block; & Ventricular paced beat after 2 secs, we deep dive into the relationship between atrial and ventricular pacing.

This week MD Assoc Prof H Mond examines the similarities between the characteristics of artefact vs non-atrioventricular Wenckebach blocks and the importance of recognising footprints for correct diagnosis.

Assoc Prof Harry Mond identifies a plethora of insights that come with studying Wenckebach sequences. This week, a definitely not boring look into atrioventricular (AV) and non-AV types, and how it’s all in the timing!