This month’s ECG is one that I’ve had in my collection for many years, filed under ‘Don’t know’. I do have a possible explanation for what’s going on here but I’m far from certain that it is right, so I’d welcome your ideas and suggestions. Unfortunately, I don’t have any clinical information. I have numbered all the beats to facilitate the discussion. Please let me know what you think.
Dr Dave Richley
Initial thought was AF with pre-excitation but that’s too obvious…
I was the same, AF with aberrance..
Thanks Mags. Definitely worth considering but I don’t think it’s the answer.
SVT with aberrancy offset by PVC
Possible brugada syndrome seen in v1,v2