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It's the ECG's that george rejects that makes George's ECG's the best.
Pacemaker Blues
Report: [Code Blue] Pacemaker rhythm 72/min 1 QRS 0.36” 2 Pacemaker rhythm 72/min 1 QRS 0.20” 2 AV dissociation 2 Accelerated idioventricular rhythm 78-84/min 2 Comment: The QRS complex width - in paced beats, bundle branch blocks, or VEBs - gener
Upper Rate Limit
Report:Sinus tachycardia 120/min 0.5 VEBs, one couplet 1 SVEB 1 AV block, probably complete 1 Atrial-sensing ventricular-pacing pacemaker 1 Pauses due to upper rate limit 120/min 4 Fusion beats 1 Left atrial abnormality (LAA) 0.5 Comment: The pa
Temporary AV Pacemaker
Report:Upper strips: Ventricular lead off Atrial pacemaker rhythm 80/min Loss of capture with reduced output Escape sinus bradycardia Resumption of capture at treshhold output Lower strip: Atrial pacemaker rhythm 53/min Failure to pace in two cycl
Beginning of an Endless Loop
Report: Sinus rhythm 79/min 1 VEB 1 Ventricular escape beat, preceded by attempt at atrial pacemaker escape 1 VEBs, dimorphic couplet 1 Retrograde conduction 2 Retrograde P sensing and generating pacemaker tachycardia 103/min 4 Comment: The retrogra
Implanted Cardioverter-Defibrillator
Report:Implanted cardioverter-defibrillator (ICD) readout 1 Ventricular tachycardia 152 – 162/min 4 Burst overdrive pacing 190-245/min 4 Sinus rhythm 95/min 1 Comment:The patient had numerous runs of VT which failed to activate the ICD because the ra
Isorhythmic Dissociation of a VVI Pacemaker
Report:Sinus rhythm 70/min 1 Ventricular pacemaker rhythm 70/min 4 AV interval 0.36 sec 5 Comment:The sinus P waves are not very well shown in the frontal leads, but there’s no doubting them in the chest leads V1-3. The AV interval is long, but constan
PseudoWenckebach in Ventricular Pacemaker
Report:Sinus tachycardia 122/min. 1 Möbitz 1 AV block, 5:4 and 4:3 conduction. 2 Atrial-sensing ventricular pacemaker (probably a DDD pacemaker). 3 Pseudo-Wenckebach. 4 Comment:The ventricular complexes are all paced and all identical, indicating no a
Carotid Sinus Massage & Atrial Pacemaker
Report:Sinus rhythm 53/min 1 Atrial pacemaker rhythm 41 - 42/min 2 Second degree AV block 3 Single non-conducted paced beat 4 Comment:Carotid sinus massage may induce AV block regardless of the nature of atrial activation. The patient's response is no
Pacemaker Syndrome: Paced Bigeminy
Report:Pacemaker rhythm 71/min 1 AV sequential (probably DDD) pacemaker 2 Reentry paced beats of pacemaker origin 5 Bigeminy 1 No evidence of paced atrial capture 1 Comment:The trace should be compared to the previous one, where each atrial pacing sp
Masquerading Bundle Branch Block
Report:Atrial fibrillation with ventricular response 80-120/min 1 Fixed-rate ventricular pacemaker rhythm 50/min 2 Fusion beat (third paced complex) 1 R-on-T pacing 1 Right bundle branch block 1 Left anterior hemiblock 1 Standard masquerading bundl