Wolff-Parkinson-White syndrome EKG examples: Difference between revisions
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Shown below is an EKG depicting [[delta waves]] in [[Precordial lead|V1]], [[Precordial lead|V2]], and [[Augmented limb lead|aVF]], coupled with [[short PR interval]] suggestive of WPW syndrome. | Shown below is an EKG depicting [[delta waves]] in [[Precordial lead|V1]], [[Precordial lead|V2]], and [[Augmented limb lead|aVF]], coupled with [[short PR interval]] suggestive of WPW syndrome. | ||
[[File:Wpw1.png|center|600px]] | [[File:Wpw1.png|center|600px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG depicting [[delta waves]] (slurred up-stroking QRS complex) in [[precordial leads]], [[Augmented limb lead|aVL]], and [[Augmented limb lead|aVF]], [[wide QRS complexes]], [[short PR interval]] and [[left axis deviation]] suggesting WPW syndrome. There is an rsr<sup>1</sup> pattern in the chest lead [[Precordial lead|V1]]. | Shown below is an EKG depicting [[delta waves]] (slurred up-stroking QRS complex) in [[precordial leads]], [[Augmented limb lead|aVL]], and [[Augmented limb lead|aVF]], [[wide QRS complexes]], [[short PR interval]] and [[left axis deviation]] suggesting WPW syndrome. There is an rsr<sup>1</sup> pattern in the chest lead [[Precordial lead|V1]]. | ||
[[File:Wpw2.jpg|center|800px]] | [[File:Wpw2.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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[[File:WPW001.JPG|center|800px]] | [[File:WPW001.JPG|center|800px]] | ||
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Shown below is an EKG of type B Wolff-Parkinson-White syndrome depicting [[delta wave]]s in leads [[Limb lead|I]], [[Augmented limb lead|aVL]] and [[Precordial lead|V2-V6]], [[short PR interval]] and non-specific ST changes. | Shown below is an EKG of type B Wolff-Parkinson-White syndrome depicting [[delta wave]]s in leads [[Limb lead|I]], [[Augmented limb lead|aVL]] and [[Precordial lead|V2-V6]], [[short PR interval]] and [[non-specific ST changes]]. | ||
[[File:WPW002.jpg|center|800px]] | [[File:WPW002.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG of Wolff-Parkinson-White syndrome (posteroseptal pathway) depicting [[delta wave]]s in leads I and precordial leads along with wide QRS complexes, [[left axis deviation]] and non-specific ST changes. | Shown below is an EKG of Wolff-Parkinson-White syndrome (posteroseptal pathway) depicting [[delta wave]]s in leads I and precordial leads along with [[wide QRS complexes]], [[left axis deviation]] and [[non-specific ST changes]]. | ||
[[File: | [[File:Wolff-Parkinson-White syndrome8.jpg|center|800px]] | ||
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Shown below is an EKG showing abnormal QRS form with [[delta wave]]s seen best in the [[precordial leads]] and [[Short PR interval|shortening of PR interval]] signifying aberrant conduction pathway. | Shown below is an EKG showing abnormal QRS form with [[delta wave]]s seen best in the [[precordial leads]] and [[Short PR interval|shortening of PR interval]] signifying aberrant conduction pathway. | ||
[[File:Wolff-Parkinson-White syndrome9.jpg|center|800px]] | [[File:Wolff-Parkinson-White syndrome9.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG showing [[delta wave]]s in leads [[Limb lead|I]], [[Precordial lead|II]], [[Precordial lead|V4]], and [[Precordial lead|V5]] and [[short PR interval]] in a patient with Wolff-Parkinson-White Syndrome. | Shown below is an EKG showing [[delta wave]]s in leads [[Limb lead|I]], [[Precordial lead|II]], [[Precordial lead|V4]], and [[Precordial lead|V5]] and [[short PR interval]] in a patient with Wolff-Parkinson-White Syndrome. | ||
[[File:Wolff-Parkinson-White- | [[File:Wolff-Parkinson-White-syndrome11.jpg|center|500px]] | ||
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Shown below is an EKG of WPW syndrome depicting [[delta wave]] in leads [[Limb lead|II]], [[Precordial lead|V2-6]] along with [[wide QRS complexes]], [[short PR interval]] and rsr<sup>1</sup> pattern in [[Precordial lead|V1]]. | Shown below is an EKG of WPW syndrome depicting [[delta wave]] in leads [[Limb lead|II]], [[Precordial lead|V2-6]] along with [[wide QRS complexes]], [[short PR interval]] and rsr<sup>1</sup> pattern in [[Precordial lead|V1]]. | ||
[[File: | [[File:Wolff-Parkinson-White syndrome12.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG of type A Wolff-Parkinson-White syndrome depicting [[delta wave]]s in leads [[Limb lead|II]], [[Limb lead|III]], [[Augmented lead|aVF]], and in [[precordial leads]] along with [[wide QRS complexes]], an rsr<sup>1</sup> pattern in the lead [[Precordial lead|V1]] and [[left axis deviation]]. | Shown below is an EKG of type A Wolff-Parkinson-White syndrome depicting [[delta wave]]s in leads [[Limb lead|II]], [[Limb lead|III]], [[Augmented lead|aVF]], and in [[precordial leads]] along with [[wide QRS complexes]], an rsr<sup>1</sup> pattern in the lead [[Precordial lead|V1]] and [[left axis deviation]]. | ||
[[File: | [[File:Wolff-Parkinson-White syndrome13.jpg|center|800px]] | ||
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Shown below is an EKG of WPW syndrome. EKG demonstrates a [[delta wave]] in the [[precordial leads]], [[wide QRS complexes]] and [[short PR interval]]. | Shown below is an EKG of WPW syndrome. EKG demonstrates a [[delta wave]] in the [[precordial leads]], [[wide QRS complexes]] and [[short PR interval]]. | ||
[[File: | [[File:Wolff-Parkinson-White syndrome14.png|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG of type A WPW syndrome demonstrating [[delta waves]] in the precordial leads, [[wide QRS complexes]] (>110 milli sec), prominent R waves in leads V1 and V2. | Shown below is an EKG of type A WPW syndrome demonstrating [[delta waves]] in the precordial leads, [[wide QRS complexes]] (>110 milli sec), prominent R waves in leads V1 and V2. | ||
[[File: | [[File:Wolff-Parkinson-White syndrome15.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG of WPW syndrome type A demonstrating delta | Shown below is an EKG of WPW syndrome type A demonstrating [[delta wave]]s in the precordial leads and limb leads III and aVF along with tall [[R waves]] in V<sub>1</sub> and V<sub>2</sub>. | ||
[[File: | [[File:Wolff-Parkinson-White syndrome16.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG of WPW syndrome type A demonstrating [[delta waves]] in precordial leads and limb leads II, III and aVF along with prominent [[R waves]] in leads V<sub>1</sub> and V<sub>2</sub> and Rsr pattern in lead V<sub>1</sub>. | Shown below is an EKG of WPW syndrome type A demonstrating [[delta waves]] in precordial leads and limb leads II, III and aVF along with prominent [[R waves]] in leads V<sub>1</sub> and V<sub>2</sub> and Rsr pattern in lead V<sub>1</sub>. | ||
[[File: | [[File:Wolff-Parkinson-White syndrome17.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG of WPW syndrome type B demonstrating delta waves along with prominent [[S wave]] in V<sub>1</sub>, prominent [[R waves]] in left precordial leads, [[wide QRS complexes]] and [[left axis deviation]]. | Shown below is an EKG of WPW syndrome type B demonstrating delta waves along with prominent [[S wave]] in V<sub>1</sub>, prominent [[R waves]] in left precordial leads, [[wide QRS complexes]] and [[left axis deviation]]. | ||
[[File: | [[File:Wolff-Parkinson-White syndrome18.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG of WPW syndrome type B demonstrating [[delta wave]]s and [[short PR interval]] in limb leads I and aVL and chest leads V<sub>2 - 6</sub> and prominent [[R wave]]s in lateral chest leads. There is also [[left axis deviation]]. | Shown below is an EKG of WPW syndrome type B demonstrating [[delta wave]]s and [[short PR interval]] in limb leads I and aVL and chest leads V<sub>2 - 6</sub> and prominent [[R wave]]s in lateral chest leads. There is also [[left axis deviation]]. | ||
[[File: | [[File:Wolff-Parkinson-White syndrome19.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG of WPW syndrome type B demonstrating [[wide QRS complexe]]s with [[delta wave]]s and [[short PR interval]] in limb leads I and aVL and chest leads V<sub>2 - 6</sub> and prominent [[S waves]] in lead V<sub>1</sub> and prominent [[R wave]]s in lateral chest leads. There is also [[left axis deviation]]. | Shown below is an EKG of WPW syndrome type B demonstrating [[wide QRS complexe]]s with [[delta wave]]s and [[short PR interval]] in limb leads I and aVL and chest leads V<sub>2 - 6</sub> and prominent [[S waves]] in lead V<sub>1</sub> and prominent [[R wave]]s in lateral chest leads. There is also [[left axis deviation]]. | ||
[[File: | [[File:Wolff-Parkinson-White syndrome20.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG of WPW syndrome type B demonstrating [[wide QRS complexe]]s with [[delta wave]]s in limb leads I and II and chest leads V<sub>4 - 6</sub> and prominent [[S waves]] in leads v<sub>1</sub> and V<sub>2</sub> and prominent [[R wave]]s in lateral chest leads. | Shown below is an EKG of WPW syndrome type B demonstrating [[wide QRS complexe]]s with [[delta wave]]s in limb leads I and II and chest leads V<sub>4 - 6</sub> and prominent [[S waves]] in leads v<sub>1</sub> and V<sub>2</sub> and prominent [[R wave]]s in lateral chest leads. | ||
[[File: | [[File:Wolff-Parkinson-White syndrome21.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG of WPW syndrome type B demonstrating [[wide QRS complexe]]s with [[delta wave]]s and prominent [[S waves]] in leads v<sub>1</sub> and V<sub>2</sub> and prominent [[R wave]]s in lateral chest leads. | Shown below is an EKG of WPW syndrome type B demonstrating [[wide QRS complexe]]s with [[delta wave]]s and prominent [[S waves]] in leads v<sub>1</sub> and V<sub>2</sub> and prominent [[R wave]]s in lateral chest leads. | ||
[[File: | [[File:Wolff-Parkinson-White syndrome22.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG showing WPW syndrome with an [[orthodromic]] circus movement tachycardia (CMT): Narrow complex tachycardia with a rate of 200 bpm (RR interval 320 ms). After 5 cycles, the tachycardia suddenly stops and four multiform complexes are seen without any [[P wave]]s. These complexes should be regarded as a polymorphic ventricular tachycardia, which is not uncommon after an [[adenosine]]-terminated [[supraventricular tachycardia]]. A 5th complex is preceded by a [[P wave]]. The subsequent 4 complexes show a widened QRS complex and all are immediately preceded by a [[P wave]]. The initial phase of the [[QRS]] complex is slurred and positive in all available leads. [[Sinus rhythm]] continues thereafter with gradual abbreviation of the [[QRS]] complex until a 120 msec wide QRS complex remains. | Shown below is an EKG showing WPW syndrome with an [[orthodromic]] circus movement tachycardia (CMT): Narrow complex tachycardia with a rate of 200 bpm (RR interval 320 ms). After 5 cycles, the tachycardia suddenly stops and four multiform complexes are seen without any [[P wave]]s. These complexes should be regarded as a [[polymorphic ventricular tachycardia]], which is not uncommon after an [[adenosine]]-terminated [[supraventricular tachycardia]]. A 5th complex is preceded by a [[P wave]]. The subsequent 4 complexes show a widened QRS complex and all are immediately preceded by a [[P wave]]. The initial phase of the [[QRS]] complex is slurred and positive in all available leads. [[Sinus rhythm]] continues thereafter with gradual abbreviation of the [[QRS]] complex until a 120 msec [[wide QRS complex]] remains. | ||
[[File:Wolff-Parkinson-White syndrome23.jpg|center|800px]] | [[File:Wolff-Parkinson-White syndrome23.jpg|center|800px]] | ||
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Shown below is an EKG showing sinus rhythm with [[short PR interval]] (<120 ms) and the slurred upstroke of the QRS ([[delta wave]]). This is best seen in leads I and aVL, V2 to V6. Of interest is that the [[delta wave]] is negative in the inferior leads and gives the false impression of an [[inferior wall myocardial infarction]]. This tracing show WPW [[ventricular pre-excitation]]. | Shown below is an EKG showing sinus rhythm with [[short PR interval]] (<120 ms) and the slurred upstroke of the QRS ([[delta wave]]). This is best seen in leads I and aVL, V2 to V6. Of interest is that the [[delta wave]] is negative in the inferior leads and gives the false impression of an [[inferior wall myocardial infarction]]. This tracing show WPW [[ventricular pre-excitation]]. | ||
[[File:Wolff-Parkinson-White syndrome25.jpg|center|800px]] | [[File:Wolff-Parkinson-White syndrome25.jpg|center|800px]] | ||
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page | |||
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[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Disease]] | |||
Latest revision as of 01:10, 21 April 2014
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Wolff-Parkinson-White syndrome Microchapters |
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Wolff-Parkinson-White syndrome EKG examples On the Web |
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Risk calculators and risk factors for Wolff-Parkinson-White syndrome EKG examples |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
For the main page on Wolff-Parkinson-White syndrome click here
EKG examples
Shown below is an EKG depicting delta waves in V1, V2, and aVF, coupled with short PR interval suggestive of WPW syndrome.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG depicting delta waves (slurred up-stroking QRS complex) in precordial leads, aVL, and aVF, wide QRS complexes, short PR interval and left axis deviation suggesting WPW syndrome. There is an rsr1 pattern in the chest lead V1.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG of Wolff-Parkinson-White syndrome (antero-lateral pathway) depicting delta waves in leads V3, V4, V5, and V6, wide QRS complexes (>110 ms) and short PR interval.
Shown below is an EKG of type B Wolff-Parkinson-White syndrome depicting delta waves in leads I, aVL and V2-V6, short PR interval and non-specific ST changes.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG of Wolff-Parkinson-White syndrome (epicardial pathway) depicting delta waves (slurred up-stroking QRS) in precordial leads with wide QRS complexes.
Shown below is an EKG of Wolff-Parkinson-White syndrome (left posterior pathway) depicting in delta waves in V5 and V6 along with wide QRS complexes and short PR interval.
Shown below is an EKG of Wolff-Parkinson-White syndrome (posteroseptal pathway) depicting delta waves in leads I and precordial leads along with wide QRS complexes, left axis deviation and non-specific ST changes.
Shown below is an EKG showing abnormal QRS form with delta waves seen best in the precordial leads and shortening of PR interval signifying aberrant conduction pathway.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG showing delta waves in leads I, II, V4, and V5 and short PR interval in a patient with Wolff-Parkinson-White Syndrome.
Shown below is an EKG of WPW syndrome depicting delta wave in leads II, V2-6 along with wide QRS complexes, short PR interval and rsr1 pattern in V1.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG of type A Wolff-Parkinson-White syndrome depicting delta waves in leads II, III, aVF, and in precordial leads along with wide QRS complexes, an rsr1 pattern in the lead V1 and left axis deviation.
Shown below is an EKG of WPW syndrome. EKG demonstrates a delta wave in the precordial leads, wide QRS complexes and short PR interval.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG of type A WPW syndrome demonstrating delta waves in the precordial leads, wide QRS complexes (>110 milli sec), prominent R waves in leads V1 and V2.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG of WPW syndrome type A demonstrating delta waves in the precordial leads and limb leads III and aVF along with tall R waves in V1 and V2.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG of WPW syndrome type A demonstrating delta waves in precordial leads and limb leads II, III and aVF along with prominent R waves in leads V1 and V2 and Rsr pattern in lead V1.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG of WPW syndrome type B demonstrating delta waves along with prominent S wave in V1, prominent R waves in left precordial leads, wide QRS complexes and left axis deviation.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG of WPW syndrome type B demonstrating delta waves and short PR interval in limb leads I and aVL and chest leads V2 - 6 and prominent R waves in lateral chest leads. There is also left axis deviation.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG of WPW syndrome type B demonstrating wide QRS complexes with delta waves and short PR interval in limb leads I and aVL and chest leads V2 - 6 and prominent S waves in lead V1 and prominent R waves in lateral chest leads. There is also left axis deviation.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG of WPW syndrome type B demonstrating wide QRS complexes with delta waves in limb leads I and II and chest leads V4 - 6 and prominent S waves in leads v1 and V2 and prominent R waves in lateral chest leads.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG of WPW syndrome type B demonstrating wide QRS complexes with delta waves and prominent S waves in leads v1 and V2 and prominent R waves in lateral chest leads.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG showing WPW syndrome with an orthodromic circus movement tachycardia (CMT): Narrow complex tachycardia with a rate of 200 bpm (RR interval 320 ms). After 5 cycles, the tachycardia suddenly stops and four multiform complexes are seen without any P waves. These complexes should be regarded as a polymorphic ventricular tachycardia, which is not uncommon after an adenosine-terminated supraventricular tachycardia. A 5th complex is preceded by a P wave. The subsequent 4 complexes show a widened QRS complex and all are immediately preceded by a P wave. The initial phase of the QRS complex is slurred and positive in all available leads. Sinus rhythm continues thereafter with gradual abbreviation of the QRS complex until a 120 msec wide QRS complex remains.
The same patient's EKG during sinus rhythm. A discrete delta wave is clearly visible. The morphology of the delta wave suggests a left posterior Kent bundle.
Shown below is an EKG showing sinus rhythm with short PR interval (<120 ms) and the slurred upstroke of the QRS (delta wave). This is best seen in leads I and aVL, V2 to V6. Of interest is that the delta wave is negative in the inferior leads and gives the false impression of an inferior wall myocardial infarction. This tracing show WPW ventricular pre-excitation.
Copyleft image obtained courtesy of ECGpedia,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG demonstrating delta waves in the precordial leads and limb leads I and aVL along with wide QRS, short PR interval and left axis deviation suggesting WPW syndrome. The accessory pathway is located in the left posteroseptal region.
Shown below is an EKG depicting atrial flutter in a patient with WPW syndrome. There is 1:1 conduction down a bypass tract.
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:ECG_Aflutt_1to1.jpg
Sources
Copyleft images obtained courtesy of ECGpedia, http://en.ecgpedia.org/index.php?title=Special:NewFiles&offset=&limit=500