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12-lead electrocardiogram showing the Wolff-Parkinson-White pattern

12-lead electrocardiogram showing the Wolff-Parkinson-White pattern
The 2 main electrocardiographic features of Wolff-Parkinson-White pattern include a short PR interval (<0.12 seconds) and a delta wave (arrows). The QRS complex is wide (>0.12 seconds) and represents a fusion beat; the initial portion (delta wave) results from rapid ventricular activation via the accessory pathway (preexcitation), while the termination of ventricular activation is via the normal conduction system, leading to a fairly normal terminal portion of the QRS.
Graphic 75578 Version 10.0
ECG of sinus rhythm to Normal electrocardiogram (ECG)
Normal sinus rhythm at a rate of 71 beats/minute, a P wave axis of 45°, and a PR interval of 0.15 seconds.
ECG: electrocardiogram.
Courtesy of Morton Arnsdorf, MD.
Graphic 58149 Version 5.0