Diagnosis, Wenckebach?

aka ECG Exigency 018.1

The following tracing can be found in our ECG library, allegedly as an example of Wenckebach AV block. However, as one of our readers, Jan Štros has pointed out, there is something not entirely right about this ECG tracing…

Can you spot the ‘deliberate’ mistake?

Wenckebach AV block with Wenckebach SA block
  • Q1. What features of Wenckebach AV block are present on this ECG?
  • Q2. What features of Wenckebach are notably ABSENT?
  • Q3. What possible explanations could exist to explain this tracing?

SOLUTION REVEALED HERE


ECG Exigency 700 4

CLINICAL CASES

ECG EXIGENCY

Emergency Physician in Prehospital and Retrieval Medicine in Sydney, Australia. He has a passion for ECG interpretation and medical education | ECG Library |

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