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A Very Subtle 1st Degree AV Block


Frank Yanowitz Copyright 1996

Where are the P waves??? They are hiding in the T waves as indicated by the arrows. How do we know?
The PVC unmasked the sinus P wave, and now it is seen in the pause following the PVC. The PR
interval is, therefore, about 500 ms.

http://library.med.utah.edu/kw/ecg/mml/ecg_0283_mod.html [5/11/2006 9:40:17 AM]

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