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Atrial flutter with 3:1 A-V conduction

jer5150's picture

Jason's Blog: ECG Challenge for the months of September and October, 2013.

Patient's clinical data:  56-year old man.

At Dawn's request, this month's ECG is laying down the foundation for a topic she wanted me to eventually talk about on the ECG Guru.  On this ECG, I'm not just looking for the obvious disturbance of rhythm.  This type of ECG is literally begging for a laddergram to help reveal the mechanism responsible for a couple of very subtle and rare findings.

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