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The Lab

Rhythms

Atrial Fibrillation + Complete Heart Block · Ventricular Escape

Fibrillatory atrial activity without organized P waves, with a slow regular ventricular escape. This example uses a wide ventricular escape; junctional escapes may be narrow. Loss of atrial contraction and bradycardia reduce forward flow.

Overview

Open Clinical controls → Baseline vitals → Rhythm and choose Atrial Fibrillation + Complete Heart Block · Ventricular Escape. The rate and atrial/ventricular timing follow this rhythm’s model.

Fibrillatory atrial activity without organized P waves, with a slow regular ventricular escape. This example uses a wide ventricular escape; junctional escapes may be narrow. Loss of atrial contraction and bradycardia reduce forward flow.

The disease state remains active. Disease morphology, treatment and temporary pacing can modify the displayed result; use the effective rate and the current twelve-lead read.

Step by step

  1. Select the rhythm, then adjust Ventricular rate if required.
  2. Compare Lead II, V1 and the arterial pulse.
  3. Open 12-lead ECG; use Variant or Next variant, then Pause → Interpretation.

References & further reading

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