Premature Ventricular Contraction EKG Examples

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

For the main page on premature ventricular contraction, click here.

EKG Examples

Shown below is an EKG showing premature ventricular contractions.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:De-KJcasu17-1.jpg

Shown below is an EKG showing a Premature Ventricular Contractions.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page

Shown below is an EKG showing a Premature Ventricular Contractions triggering ventricular flutter.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page

Shown below is an EKG showing a sinus rhythm with ventricular bigemini.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:E284.jpg

Shown below is an EKG showing a sinus rhythm with ventricular bigemini. Every sinus beat is followed by a ventricular extrasystoles.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:Rhythm_bigemini.png

Shown below is an EKG image of premature ventricular contraction. The arrow indicates a ventricular extrasystole (VES).

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:Rhythm_ventricular_premature.png

Shown below is an EKG showing a trigeminal rhythm where wide complex beats are interpolated between normal QRS complexes. Note that there is PR prolongation after the wide complex beat. The wide complex beats are probably ventricular beats. As a rule interpolated wide beats are usually ventricular. In most cases the P wave after the PVC is not conducted and a compensatory pause is created instead of an interpolated beat.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:E282.jpg

Shown below is an EKG showing a sinus rhythm with interpolated ventricular premature complexes. Wide complex beats interpolated between sinus complexes suggests strongly that they are ventricular in origin.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:E000783.jpg

References

de:Extrasystole it:Extrasistole fi:Sydämen lisälyöntisyys

Template:WikiDoc Sources

v t e Electrocardiography
Overview	History of the EKG • EKG interpretation basics • Normal sinus rhythm
EKG Complexes	P wave • QRS complex • ST Segment • T wave • T wave alternans • Tombstone T wave • U wave Osborn wave • H wave • K wave • Delta wave NSSTW changes
EKG Intervals	PR Interval • QRS Interval • ST Interval • QT Interval
Conduction System & Bradycardia	Cardiac pacemaker • SA node • AV node• Bundle of His • Purkinje fibers • Sinus bradycardia • First Degree AV Block • Second Degree AV Block • Complete or Third-Degree AV Block • Concealed conduction • AV Junctional Rhythms • LBBB • LAHB • LPHB • RBBB • Trifascicular block
Atrial Arrhythmias	Sinus tachycardia • Premature Atrial Contractions (PACs) • Ectopic Atrial Rhythm • Paroxysmal Atrial Tachycardia (PAT) • Paroxysmal Atrial Tachycardia (PAT) with Block • Multifocal Atrial Tachycardia (MAT) • Atrial Flutter • Atrial Fibrillation • Wandering atrial pacemaker
Ventricular Arrhythmias	Differential Diagnosis of Tachycardia with a Wide QRS Complex • Accelerated Idioventricular Rhythm • Ventricular Parasystole • Premature Ventricular Contractions (PVCs) • Ventricular tachycardia • Ventricular Fibrillation • Sudden cardiac death
EKG Abnormalities in Disease States	Hypertrophy & Dilatation • Right atrial enlargement • Left atrial enlargement • Biatrial enlargement • Left Ventricular Hypertrophy • Right Ventricular Hypertrophy • Biventricular Hypertrophy • Acute myocardial infarction • NSTEMI • STEMI • Tombstone ST elevation • Right ventricular myocardial infarction • Atrial infarction Pre-excitation Syndromes • Wolff-Parkinson-White Syndrome • Lown Ganong Levine Syndrome • Mahaim Type Preexcitation Cardiomyopathies • Arrhythmogenic Right Ventricular Dysplasia • Dilated Cardiomyopathy • Hypertrophic Cardiomyopathy Drug Effects on the EKG • Adenosine • β-blockers • Digitalis • Quinidine • Procainamide • Disopyramide • Lidocaine • Tocainide and Mexiletine • Phenytoin • Encainide, Flecainide and Propafenone • Amiodarone • Bretylium • Ca Channel Blockers • Phenothiazines • Tricyclic Antidepressants • Lithium Congenital Heart Disease • Dextrocardia • Atrial Septal Defect • Ventricular Septal Defect • Tetralogy of Fallot • Conjoined Twins or Siamese Twins • Congenital heart block Electrolyte Disturbances • Hyperkalemia • Hypokalemia • Hypercalcemia • Hypocalcemia • Nonspecific Changes Other Heart Diseases • Pericarditis • Myocarditis • Tamponade • Heart Transplantation • Sick Sinus Syndrome • Long QT Syndrome Inherited Disease • Brugada Syndrome Systemic Diseases • CNS Disease • Cardiac Tumors Heart Transplantation • EKG Changes in patient with Heart Transplantation Exogenous Effects • Hypothermia • Chest Trauma • Insect Bites • Electric Injuries
Technical Issues and Potential Errors in Interpretation	Artifacts • Lead Placement Errors • The EKG in a Patient with a Pacemaker • EKG in athletes

Premature Ventricular Contraction EKG Examples

EKG Examples

References

Navigation menu