JACC: Case Reports (Oct 2023)

An Ominous ECG

  • Danqiong Zhu, MD,
  • Yi Long, MD,
  • Qiushan Man, MD,
  • Zhou Wang, MD,
  • Hong Tian, MD

DOI
https://doi.org/10.1016/j.jaccas.2023.102006
Journal volume & issue
Vol. 23
p. 102006

Abstract

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Homologous ventricular electrical separation is a rare electrocardiogram manifestation; it is defined as a specific subtype of ventricular separation caused by excitation that originates from the supraventricular rhythm and travels through the His-Pukenje system, resulting in severe asynchrony of biventricular depolarization and production of 2 QRS complexes. It always indicates irreversible cardiac impairment and electrical instability. (Level of Difficulty: Advanced.)

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