AV-nodal complexes

Originate from the AV node. The AV node fires before the sinusnode. The ECG shows a QRS complex with a comparable morphology as during sinus rhythm as these extra beats are conducted further through the normal conduction system. When the extra follows very soon after the earlier one, aberrant conduction can occur. The extra beat does not have a p-wave in front of it. Sometimes an inverted p-wave can be seen in or at the end of the QRS complex.