Classical Wenckebach Trigeminy
Report:
Sinus rhythm 98/min
Second degree AV block, Möbitz 1, with 4:3 conduction
Trigeminy
Left atrial abnormality (LAA)
Left bundle branch block
Atypical repolarisation pattern suggests ischæmia
Comment:
The Wenckebach sequences show the classical pattern of decreasing R-R and increasing (but decrementally) P-R intervals.
A 1:1 conduction with PR interval 0.30” is shown below (Fig 152a).
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