McGill Case 220

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This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia.

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This rhythm strip shows sinus rhythm with salvos of PVCS. Note that you can track the P wave activity in the ventricular complexes and that there is a ventricular capture beat (6th beat). This capture beat confirms that the wide beats are ventricular and also that there is probably no retrograde A/V conduction.