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It's the ECG's that george rejects that makes George's ECG's the best.
Sensing and not Sensing Atrial Fibrillation
Report:AV sequential pacemaker rhythm 60-75/min 5 Atrial fibrillation 5 Comment: For much of the trace the pacemaker is firing through both barrels, unaware that AF precludes any atrial capture. This wastes the battery. On the other hand, having a rapi
Atrial Sensing and Pacing
Report:Sinus rhythm 75/min 1 VEB 1 Atrial-sensing ventricular pacemaker 3 Atrial sensing and pacing ventricular pacemaker (last beat) 4 Left atrial abnormality (LAA) 1 Comment:This is a DDD pacemaker, responding to both the atrial activity and the la
Two Pacemakers, One Pacing
Report:Sinus rhythm 1 Third degree AV block 1 Ventricular pacemaker rhythm 62/min 4 Failed dual pacemaker 59/min 4 Comment: The two pacemakers and the sinus rhythm are completely dissociated from each other. There is no atrial or ventricular capture
AV Pacemaker: No Ventricular Lead
Report:Atrial pacemaker rhythm 59/min 2 Right bundle branch block 2 AV interval 0.31” ?no ventricular lead 4 Q waves in 1, aVL, V5-6 – possible old anterolateral infarction 2 Comment:The diagnosis is suggested by the unusually long AV interval, althou
Escape-Capture Bigeminy in AF
Report: Atrial fibrillation 1 High-grade or complete AV block 1 Junctional rhythm 2 Pacemaker rhythm 1 Escape-capture bigeminy 1 Left anterior hemiblock (LAHB) 1 Right bundle branch block 1 Anteroseptal infarction, age uncertain 1 ST/T changes con
Paced Bigeminy in PAT with Block
Report:Atrial tachycardia 146/min with block 2 100% paced atrial-sensing ventricular rhythm 97/min 3 Escape-capture bigeminy 5 Comment:This is a visually striking trace, with regular atrial tachycardia resulting in bigeminal paced ventricular rhythm. T
Agonal Rhythm
Report:Pacemaker rhythm 60/min 2 Absolute small voltage 3 Probable acute anterior infarction 5 Comment:There is probably an atrial standstill. The patient sustained clinical acute infarction and cardiogenic shock, dying within minutes of this trace b
Atrial Pacemaker: Failure to Sense
Report:Sinus rhythm 80/min 1 Atrial pacemaker 2 Failure to sense 2 Blocked atrial P waves of pacemaker origin 4 Left bundle branch block 1 Comment:There is a profusion of pacemaker spikes and LBBB complexes, giving an initial impression of variable a
High Electrode Tip Irrelevant
Report: AV pacemaker rhythm 89/min, 100% atrial and ventricular capture 2 Positive QRS axis +25o 8 Comment: Post-CABG, the pacemaker leads are “implanted” epicardially. Thus the positive L2 does not denote difficult pacing, instability, or irritabilit
Positive Concordant Precordial Pattern
Report:Pacemaker rhythm 63/min 2 1:1 retrograde conduction 3 Positive concordant precordial pattern 5 Comment:This is a temporary, bipolar unit, inserted in CCU. The patient had a very large right ventricle or the lead is inadvertently placed in the po