What do you see?
Q: what do you see?
A: i see long RR in here.
Q: good, there is short-long-short RR. What do you see after that long RR?
A: i see a strange ritm, which looks like a VE ritm.
Q: Oh no, its not VE. If its VE, then after VE will be compensatory pause. Look attentively. You will see that is rSR' pattern and there isnt any compensatory pause. In which patology rSR' pattern finding?
A: Oh yeah! i saw rSR' pattern. I think in RBBB rSR', isnt it?
Q: Its not RBBB, its just RBBB morphology of aberrant conduction. Now, if we are talking about RBBB then what can you say about QRS duration?
A: Wide QRS?
Q: Ofcourse! These criteries are called: Ashman phenomenon. Lets repeat which criteries are finding?
A: short-long RR intervals, aberrant conducted wide QRS complex.
Q: Weldone! Dont forget, Ashman phenomen mostly observes in AF. What else you can share with us?
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