Compensatory vs. Noncompensatory Pauses
PVCs can be associated with either compensatory (Figure 30-6) or noncompensatory pauses (Figure 30-7). If the ectopic ventricular depolarization wave of the PVC spreads retrogradely to the atria and resets the sinus node, the pause will be noncompensatory. If the ectopic ventricular depolarization wave is blocked from retrogradely spreading to the atria, then the pause will be fully compensatory. In general, most of the pauses associated with PVCs will be fully compensatory.