The diagnosis is normal sinus rhythm, first-degree AV block (prolonged AV conduction), premature ventricular complexes, escape junctional complex, left ventricular hypertrophy with associated ST-T ...
As Figure 1 shows, this patient has long-standing 1° AV block -- dating back to 1949. As shown in the diagram in Figure 2, the impulse from the atrium turns around in the AV junction due to dual AV ...