Intriguing "Complete" AV block case See the inverted P wave after beat 3 - I think this could be retrograde conduction despite complete antegrade block (Although I can't fully exclude a non-conducted PAC) #epeeps #ekg #FOAMed #CardioTwitter #pmcardio
@Arron_Pearce_ @AThomazAndrade @syamkumarmd @UlhasDr @ALFIEEP1 @The_Nanashi_O @DaveRichley @willyhfrick @ecgrhythms @ecgandrhythmRoe I'm not saying it isn't retrograde conduction (but it would be unusual in the context of CHB), but could it be just a non-conducted PAC?
@Arron_Pearce_ @syamkumarmd @UlhasDr @ALFIEEP1 @The_Nanashi_O @DaveRichley @willyhfrick @ecgrhythms @ecgandrhythmRoe ncbi.nlm.nih.gov/pmc/articles/P… It’s not that uncommon, 11,9% in this article
@Arron_Pearce_ @syamkumarmd @UlhasDr @ALFIEEP1 @The_Nanashi_O @DaveRichley @willyhfrick @ecgrhythms @ecgandrhythmRoe This is one of mine. The retrograde conduction occurs in 3 repeated complex, The VA is aways the same, that’s a proof that they are Retrograde conduction
@Arron_Pearce_ @AThomazAndrade @syamkumarmd @UlhasDr @ALFIEEP1 @The_Nanashi_O @DaveRichley @ecgrhythms @ecgandrhythmRoe What makes you think retrograde more likely than PAC?
@Arron_Pearce_ @AThomazAndrade @syamkumarmd @UlhasDr @ALFIEEP1 @The_Nanashi_O @DaveRichley @willyhfrick @ecgrhythms @ecgandrhythmRoe Looks more likely a non-conducted PAC.. would be odd to see just one isolated retrograde P wave, particularly in CHB