Complex Ventricular Ectopy

Complex ventricular ectopy

Complex ventricular ectopy
Complex ventricular ectopy

Multiple wide bizarre QRS complexes without preceding P waves are ventricular ectopic beats. Some of the couplets are seen to be bidirectional while others are unidirectional. In addition, there are QS complexes in V1 and V2 with a slightly coved ST segment and T wave inversion, reminiscent of an old myocardial infarction. Such complex ventricular ectopy occurring frequently over a long period of the order of a decade can predispose to tachycardiomyopathy. On the other hand the ectopy can be an association of familial dilated cardiomyopathy as well.