#EPeeps Not totally fair question given the complex congenital heart disease, but if I could ask a poll about this ECG, it would be:
(1) PVC fusion
(2) Anodal capture
(3) Loss of LV capture
(4) I just wrote "A-sensed V-paced rhythm" without noticing the fluctuating morphology
(1) PVC fusion
(2) Anodal capture
(3) Loss of LV capture
(4) I just wrote "A-sensed V-paced rhythm" without noticing the fluctuating morphology
Comments
Other 2 beats are narrower, suggesting biv pacing.
Thus, loss of LV capture most of the time.
I considered if this could be Adaptive CRT algorithm but was worried about LV capture
We changed polarities and now all better.
The end.