Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Netherlands Heart Journal
Published in: Netherlands Heart Journal 2/2011

Open Access 01-02-2011 | Rhythm Puzzle - Answer

Answer to the Rhythm Puzzle

Authors: A. Erol-Yilmaz, S. Westra, J. L. R. M Smeets

Published in: Netherlands Heart Journal | Issue 2/2011

Login to get access

Excerpt

The ECG (electrocardiography) shows a sinus bradycardia of 42 beats/min, a horizontal electrical heart axis and a narrow QRS complex. The second to fourth QRS complex is preceded by a P wave with a variation in the PQ time. The PQ time in the second QRS complex is 220 ms, in the third 200 ms and the fourth 140 ms. No P wave precedes the fifth QRS complex. In the sixth QRS complex, the P wave is incorporated in the S wave of the QRS complex. This pattern is suggestive for isorhythmic dissociation. …
Literature
1.
Levy MN, Zieske H. Mechanism of Synchronization in Isorhythmic Dissociation. Circ Res. 1970;27:429–43.PubMed
Metadata
Title
Answer to the Rhythm Puzzle
Authors
A. Erol-Yilmaz
S. Westra
J. L. R. M Smeets
Publication date
01-02-2011
Publisher
Bohn Stafleu van Loghum
Published in
Netherlands Heart Journal / Issue 2/2011
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-010-0071-3

Other articles of this Issue 2/2011

Netherlands Heart Journal 2/2011 Go to the issue

Interuniversity Cardiology Institute of the Netherlands

Genetic predisposition for sudden cardiac death in myocardial ischaemia: the Arrhythmia Genetics in the NEtherlandS study

Review Article

The role of insulin therapy and glucose normalisation in patients with acute coronary syndrome

Case Report

Genetic counselling for pulmonary arterial hypertension: a matter of variable variability

Editorial

Economic evaluation of ezetimibe combined with simvastatin for the treatment of primary hypercholesterolaemia

Editor's Page

Summa cum fraude: how to prevent scientific misconduct

Review Article

Symptomatic pectus excavatum in seniors (SPES): a cardiovascular problem?

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits