A 35 year old lady with following skin lesion and repeated episodes of syncope on sudden change of position. ECG shows?
The rhythm strip shows lack of relation between P wave and QRS complexes. Notice a P wave followed by another P wave. (RED). P-P interval is about 100/min (BLUE). RR interval is 40/min (ORANGE). PR interval is changing with every beat. These findings are seen in complete hea block. The picture of nose of patient indicates lupus pernio. The patient is suffering from cardiac complications of sarcoidosis.
Complete hea Block
First degree hea block
Second degree hea block
2:1 hea block
ECG and Arrhythmias 1