The most common cause of a lethal dysrhythmia is by a PVC hitting the peak of the T wave (known as R-on-T Phenomenon). This causes a pulseless shockable or non-shockable rhythm in at risk patients. 90% of cardiac arrests in adults are shockable (Pulseless VTach/Ventricular Fibrillation). This rhythm started with multifocal PVCs to a wide complex tachycardia (Pulseless VTach). This can only last from a few seconds to a few minutes before it becomes Coarse Ventricular Fibrillation (if no CPR and D

• Premature ventricular contraction (PVC) - Bigeminy OR ventricular extrasystole (VES) is a type of ectopic beat where the heartbeat is initiated by Purkinje fibers in the ventricles rather than by the sinoatrial node, the normal heartbeat initiator • Symptoms: feeling your heart beat (palpitations); feeling of occasional, forceful beats; increased awareness of your heart beat; perception of a skipped heartbeat; dyspnea; dizziness • Causes: Adrenaline excess High blood calcium Cardiomyopathy, hy