Full 2L QBank
Medicine ECG and Arrhythmias 1 72971165

What is the abnormality shown in the ECG?

A
Premature ventricular contractions
B
Sine wave pattern
C
ST segment depression
D
Electrical alternans
High-Yield Explanation
The ECG shows presence of PVC- premature ventricular contractions which increase the risk of development of ventricular tachycardia due to R on T phenomenon. PVCs (bigeminal or trigeminal pattern) occurs due to electrolyte abnormalities (especially hypokalemia or hyperkalemia and hypomagnesemia), hypehyroidism, and occult hea diseases. VT or VF may occur due to the precipitation of a PVC just prior to the peak of the T wave on ECG.

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