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12 lead ECG of an uncommon form of an atrioventricular nodal reentrant tachycardia

12 lead ECG of an uncommon form of an atrioventricular nodal reentrant tachycardia
The 12 lead ECG shows a regular, narrow complex tachycardia at a rate of 130 beats per minute. The QRS complexes are normal. There is an abnormal "notching" within the ST segment, representing a retrograde P wave (*). The interval from the proceeding R wave (RP interval) is longer than the PR interval; this is a "long RP tachycardia," due to an atypical atrioventricular nodal reentrant tachycardia.
Courtesy of Martin Burke, DO.
Graphic 81639 Version 4.0
Normal ECG
Normal electrocardiogram showing normal sinus rhythm at a rate of 75 beats/minute, a PR interval of 0.14 seconds, a QRS interval of 0.10 seconds, and a QRS axis of approximately 75°.
Courtesy of Ary Goldberger, MD.
Graphic 76183 Version 4.0