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Miscellaneous ECG 27

  1. Sinus tacycardia
  2. Wolff-Parkinson-White with alternans

This ECG shows every other beat having a short PR interval and a delta wave. This is called WPW-alternans. The accessory pathway that is exists is refractory on an alternating basis creating this appearance. This is a relatively rare ECG finding.

Related Topic Reviews: Sinus Tachycardia, WPW ECG Review