A fusion of supraventricularLocated above the ventricle – includes the bundle of His, AV node, atria and the SA node. 1. Six Second ECG Guidebook (2012), T Barill, p. 206 impulses across a normal rapid ventricular pathway with a premature ventricular complexA wide QRS complex that arrives early is called a premature ventricular complex (PVC). A PVC has a width of 0.12 seconds or longer. The elongated period of ventricular depolarization is caused by an abnormal, less efficient pathway of ventricular... that happens to occur at close to the same time. The combination of normal and abnormal pathways across the ventriclesThe larger chambers of the heart (3 times the volume and muscle thickness than the atria), responsible for the pumping of blood to the lungs and the rest of the body., proceeding in differing directions simultaneously, often results in a wide QRS complexThe electrical representation of ventricular depolarization; the atrial repolarization is also a part of the QRS. ECG interpretation relies heavily on the QRS complex. The QRS complex represents the depolarization of the ventricles. The repolarization of the atria is also... with P wavesA wave generated from the depolarization of the atria; the P wave is upright when originating from the SA node. The P wave represents the depolarization of the right and left atria. The P wave begins with the first deviation... preceding – but of a unique shape and size compared to other supraventricular initiated complexes that are not fused with a PVC. The timing of fusion complexes are typically synchronized with the underlying rhythmWhile a rhythm as a whole may be irregular, segments may be regular. These regular periods are often referred to as the underlying rhythm. Apply the three step method to the underlying rhythm first. When naming a rhythm, the underlying... – not arriving earlier or later than expected.

ECGElectrocardiogram; also called an EKG; a representation of electrical voltage measured across the chest over a period of time. 1. Six Second ECG Guidebook (2012), T Barill, p. 196 Sim RhythmOften refers to a discernible pattern in time or distance between QRS complexes and/or P waves. Deck