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It's the ECG's that george rejects that makes George's ECG's the best.
Overdrive of Atrial Tachycardia With Block
Report: Top: Atrial tachycardia 200/min 1 2:1 AV block 1 Pacemaker artefact 122/min 2 No capture 1 Second: Atrial pacing 250/min 3 Capture 0 Variable AV block 0.5 Third: Atrial pacing 80/min 0.5 1:1 conduction 0 Bottom: Sinus rhythm 68/min 1
Slowing Rate with Battery Depletion
Report:Atrial fibrillation 1 Pacemaker rhythm 60/min 2 Possible battery depletion 7 Comment:Battery depletion is usually programmed to manifest itself by slowing to a pre-set rate, in this case 60/min. This patient’s potential problem was in fact dia
Unusual Mechanism of Escape-Capture Bigeminy
Report: Sinus rhythm 0.5 SVEBs, blocked, in (atrial) trigeminy 2 AV sequential pacemaker, atrial-sensing (probably DDD) 0.5 Failure to sense SVEBs 4 Atrial-paced escape beats 0.5 Ventricular bigeminy (atrial trigeminy!) 2 Nonspecific T wave changes
DDD Pacemaker in Acute Infarction with 2:1 AVB
Report:Sinus tachycardia 124/min 2:1 AV block A-sensing ventricular pacemaker rhythm 62/min Fusion beats Acute or recent inferolateral infarction Comment:My first thought was something exotic: accrochage between the temporary pacemaker and the sinus
Sick Sinus Syndrome: Repetitive Atrial Tachycardia
Report:Repetitive atrial tachycardia 180-230/min 5 Atrial and pacemaker escape beats 3 DDD pacemaker pacing at 66/min 2 Comment:This is an atrial tachycardia, with P waves not unlike sinus P waves in the frontal leads; the term SVT, while technically c
Voluntary Asystole
Report: Pacemaker rhythm 70/min 2 Somatic tremor 4 Pacemaker inhibition by myopotentials 4 Comment: Unipolar pacemakers are more likely to be inhibited by myopotentials than bipolar ones. Muscle inhibition is rarely seen in modern pacemakers (this on
Left Ventricular Pacemaker
Report:Atrial flutter 320/min 2 Probable third degree AV block 3 Ventricular pacemaker rhythm 80/min 2 Left ventricular lead 3 Comment:By coincidence, the F wave rate is almost exactly four times the paced QRS rate and the impression is strong of flut
Reciprocal Rhythm
Report: Pacemaker rhythm 1 Variable rate 1 First degree AV (0.2 - 0.4”) and VA (0.47 - 0.51”) block 1 Bigeminy due to reentry (echo) beats of pacemaker origin 6 Ventricular conduction delay (unspecified) 1 Comment: All the complexes shown - atrial
Single Lead Dual-Chamber Pacing
Report: Ventricular pacemaker rhythm 90/min (top strip) 2 Atrial pacemaker rhythm 90/min (bottom strip) 2 Switch from ventricular to atrial pacing with decreased output 6 Comment: The report, as written above, appears correct. However, two things are
Un Unusual Morphology
Report:Sequential AV pacemaker (known ICD) rhythm 59/min 2 Composite (? Fusion) QRS morphology 8 Comment: The ventricular complexes start as expected, with an initial slur of myocardial activation lasting approximately 0.08”. The second half of each co