Question 12.1

List 3 causes of an irregularly irregular pulse.

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College Answer

1. AF
2. Multiple VEs
3. Atrial flutter with varying block

Discussion

There is nothing to discuss. This is easy marks. Multifocal atrial tachycardia is another reasonable alternative. A reader has pointed out (thank you Vinay) that Mobitz Type II 2nd degree AV block is could also be listed here; because it is also irregular, but is it irregularly irregular? The reader is left to consider what they mean by this statement.