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Jonas de Jong, cardiologist at the OLVG, The Netherlands & founder of ECGpedia |
The ECG CourseThe ECG Made Easy Tutorial
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The ECG TextbookBrowse the ECG Textbook:
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Cases and ExamplesCases:
Case of the MonthA 53 year old woman has had mitral and tricuspid valve repair. An ECG is recorded. No P waves are seen before QRS complexes. She has temporary atrial pacemaker leads and a recording is made from these leads (recorded as V1 in the second ECG). Now it is evident that a junctional rhythm is present with retrograde P waves. A very long PQ interval is a differential diagnosis, but less likely. |
Contributors
Main Authors
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ECGs
R.B.A. van den Brink, MD PhD, AMC, The Netherlands; Vincent de Rover, RN, AMC, The Netherlands; R.W. Koster, MD PhD, AMC, The Netherlands; K.J. Rooyaards, MD, OLVG, the Netherlands; L.R.C. Dekker, MD PhD, M. Meuwissen, MD, PhD; I.A. Khan, MD; M.L.J.M. van de Wetering, MD; D. Kuys; K. Arkenbout, MD, PhD |
Corrections, additions and other contributionsI.A.C. van der Bilt, MD; T.T. Keller, MD, PhD, Bart Duineveld, Abdelghani Bouhiouf, Sabriena Henderson, Amon Heijne, A.O. Verkerk; A.C.G. van Ginneken, K.H.W.J. Ten Tusscher, K. Goldin, MD, S. Rijkenberg, J. van der Hoek, Sebastiaan H. Hols. |
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