Harrison's Principles of Internal Medicine McGraw Hill
PART 10: Disorders of the Cardiovascular System
SECTION 3   Disorders of Rhythm
e30 Atlas of Cardiac Arrhythmias
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Figure e30-11

Figure e30-11  Atrial tachycardia with 2:1 block. P-wave rate is about 150/min, with ventricular (QRS) rate of about 75/min. The nonconducted ("extra") P waves just after the QRS complex are best seen in lead V1. Also, note incomplete RBBB and borderline QT prolongation.

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