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It's the ECG's that george rejects that makes George's ECG's the best.
Pacemaker & Native Escape-Capture Bigeminy
Report:Sinus bradycardia 37/min Junctional & pacemaker escape beats Escape-capture bigeminy Pseudofusion beats Fusion beat Ventricular conduction defect, unspecified Comment:The escape-capture phenomenon depends in this case on sinus bradycardia.
Dual Conduction and SVT
Report: Sinus rhythm Dual PR interval: 0.14” and 0.30” Comment: The two PR intervals alternated over periods of minutes, finally attracting the attention of the ICU night staff. Unfortunately, no spontaneous change was recorded. In the morning, I g
Empty Wenckebach Pauses
Report: Sinus rhythm SVEB (second QRS, bottom strip) Second degree AV block, Möbitz 1 Junctional beats, non-conducted ?Reentry beats of sinus origin Atrial fusion beats, non-conducted Comment: In the upper strips, the Wenckebach sequences are termin
Möbitz 2 AV Block & Right Bundle Branch Block
Report:Sinus rhythm 90/min Second degree AV block, Möbitz 2 Right bundle branch block Borderline left atrial abnormality (LAA) Comment:All the PR intervals, before and after the block, are 0.16”. This is type 2 block, intraventricular: the LBB is bl
Vagotonia: Advanced Second Degree AV Block
Report: Sinus rhythm Advanced second degree AV block[!xe "Second degree AV block" \t "See AV block, second degree"!] Period of asystole Ventriculophasic sinus arrhythmia Comment: Vagally-mediated bradyarrhythmias may, at times, be fatal. Vast ma
Atrial Standstill & Idioventricular Rhythm
Report: Sinus arrest (atrial standstill) Idioventricular escape rhythm 10/min Comment: The amazing aspect of the patient’s extreme bradycardia was that she remained rousable with a pulse rate between 10 and 15/min in Casualty. Attempts to get all th
Sinus Arrhythmia or SA Exit Block?
Report: Sinus rhythm Sino-atrial exit block Comment: All the groups display the characteristic acceleration before the pause. This is the hallmark of Wenckebach (Möbitz 1) sino-atrial exit block, only slightly modified by true (respiratory) sinus ar
AF with Regular Response?
Report: Atrial fibrillation Accelerated (idio)junctional rhythm Comment: Verapamil is known to “regularise” the ventricular response to atrial fibrillation. Completely regular rhythm, however, implies AV block and the presence of an escape pacemaker
Parallel Slopes
Report: Sinus tachycardia 104/min Intermittent second degree 2:1 AV block, possibly Möbitz 2 Intraventricular conduction defect, unspecified (? lead 2 strip) Comment: The tachycardia makes it very difficult to observe any increments in the PR interva
Sinus Arrest: Asystole
Report: Sinus rhythm 60 – 70/min First degree AV block (PR 0.24”) Second degree AV block (unspecified - movement artefact over the last conducted P wave) Sinus arrest (middle) Sinus tachycardia 104/min (bottom) Third degree AV block Junctional esc