Dooger Posted May 22, 2007 Share Posted May 22, 2007 We had a bit of a head scratcher last week I thought I would throw out for insight... For the sake of this discussion (or at least until I can recall all the details :roll: ) we'll assume the patient was a post-syncopal, asymptomatic, normotensive and otherwise stable middle-aged female. Routine 3 lead ECG showed distinct, prominent dual 'P' waves of differing morphology immediately preceding each QRS complex, otherwise it was a normal ECG (no blocks, ectopic beats, rate changes or irregularities). Sorry, I don't have a graphic to post. We were considerably puzzled by the dual 'P'waves with the absence of additional QRS complexes. Only logical explanation we could muster was some sort of genetic sinus anomaly. Thoughts? Ideas? Quote Link to comment Share on other sites More sharing options...
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