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Amiodarone Induced Variety of ECG Changes - A Beginners ECG Delight

Vikas Singh, Pramod Kumar, Ajay K Sinha, Kumar Vaibhav Vikash, Anand Gopal and Manish Gunjan

We present here the case of a middle aged male with baseline bifascicular block, who continued on more than the prescribed doses of amiodarone and presented with ECG changes which are described in association with amiodarone toxicity. The interesting part is the marked prolongation of QT and PR interval and 2:1 AV block as well as wenckebach on the initial ECG which largely normalized over 72 hour on stopping the drug.