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{{CMG}}
{{CMG}}


{{SK}} capture beat;
{{SK}} fusion QRS; capture beat;
==Overview==
==Overview==
In some cases of [[ventricular tachycardia|VT]] with [[AV dissociation]] the [[SA node]] may transiently "capture" the [[Ventricle (heart)|ventricles]], producing a capture beat, which has a normal [[QRS]] duration, or a fusion beat, in which the [[Sinus rhythm|sinus]] and ventricular beats coincide to produce a hybrid complex. <ref>Goldberger: Clinical Electrocardiography: A Simplified Approach, 6th edn P 210</ref><ref>Marriott et al. Ventricular Fusion Beats. Circulation 26 (5): 880. 1962  ; http://circ.ahajournals.org/cgi/reprint/26/5/880</ref>
In some cases of [[ventricular tachycardia|VT]] with [[AV dissociation]] the [[SA node]] may transiently "capture" the [[Ventricle (heart)|ventricles]], producing a capture beat, which has a normal [[QRS]] duration, or a fusion beat, in which the [[Sinus rhythm|sinus]] and ventricular beats coincide to produce a hybrid complex. <ref>Goldberger: Clinical Electrocardiography: A Simplified Approach, 6th edn P 210</ref><ref>Marriott et al. Ventricular Fusion Beats. Circulation 26 (5): 880. 1962  ; http://circ.ahajournals.org/cgi/reprint/26/5/880</ref>

Revision as of 23:34, 3 September 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: fusion QRS; capture beat;

Overview

In some cases of VT with AV dissociation the SA node may transiently "capture" the ventricles, producing a capture beat, which has a normal QRS duration, or a fusion beat, in which the sinus and ventricular beats coincide to produce a hybrid complex. [1][2]

Electrocardiogram

In the example below, "late" (end-diastolic) PVCs are illustrated with varying degrees of fusion with normal conduction. For a fusion beat to occur the sinus P wave must successfully make its way to the ventricles to start the activation sequence, but before ventricular activation is completed by the late PCV. The resulting QRS complex resembles both the normal QRS, as well as the PVC and hence the term fusion QRS or fusion beat. The fusion beats are marked by an F in the illustration below:

References

  1. Goldberger: Clinical Electrocardiography: A Simplified Approach, 6th edn P 210
  2. Marriott et al. Ventricular Fusion Beats. Circulation 26 (5): 880. 1962  ; http://circ.ahajournals.org/cgi/reprint/26/5/880