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3. What is different about the ECG tracing with PVCs compared to the ECG of a normal sinus rhythm (be specific)?

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3) Difference between a PVC ECG wave and normal sinus rhythm :-

#. PVC ECG wave :-

- occur earlier than the next expected normal QRS

- wider than a normal QRS

- QRS morphology is bizzare

- Preceding P wave is absent

- Deflection of the ST segment and T wave is opposite that if QRS

- Followed by a compensatory pause

#. Normal sinus rhythm :-

Rate - between 60-100bpm

Rhythm - regular

P wave - upright and regular

PR interval - 0.16 sec , one p wave for each QRS

QRS - 0.08sec

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