Sinus rhythm, ~64bpm, with the odd ventricular extrasystole. A PR interval so short it looks like the heart jumped the queue. Axis normal. QRS neat and narrow. T waves calm, except a small Q and an inverted T in lead III. It looks innocent. It isn’t. This is the heart that broke protocol. Everyone screams WPW when they see a short PR. But WPW doesn’t hide. WPW shouts with that delta wave- broad, slurred, messy. This ECG? Clean. Too clean. That’s your first warning. In WPW, the impulse escapes th
Sinus rhythm, ~64bpm, with the odd ventricular extrasystole. A PR interva…
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