you glance at the rhythm monitor casually and notice a rhythm change in the 12-lead EKG. The EKG Club learning objectives for this care are to: Basic: Identify the origin of ectopic impulses.

There are only a few sinus rhythm QRS complexes available to examine on this ECG. Using lead V1 an incomplete right bundle branch block is seen. A prolonged QT interval is present that extends all ...

AV dissociation appears to be present. Examine the rhythm strip in lead V1 and intermittently a P wave will correspond just prior to the QRS complex. The QRS is in a right bundle branch block ...