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It's the ECG's that george rejects that makes George's ECG's the best.
Congenital Complete Heart Block
Report:Sinus rhythm 100 – 108/min Third degree AV block Junctional escape rhythm 54/min Nonspecific T wave changes Comment:The criteria for AV block as the cause of AV dissociation are fulfilled in that the atrial rate is almost twice faster than the
Bilateral Bundle Branch Block (BBBB)
Report:Sinus rhythm 94/min Advanced (4:1) AV block Left bundle branch block Comment:While it is possible that there exist independent AV nodal block and isolated LBB disease, the block as recorded is more likely an expression of BBBB, viz. permanent
SVEBs in Bigeminy or 2:1 AV Block?
Report: Sinus rhythm 72/min Second degree AV block, 2:1 Ventriculophasic sinus arrhythmia Left bundle branch block Comment: The ventriculophasic effect is so marked that one cannot be completely certain that the atrial complexes at the end of T wave
Illusion of Sinus Tachycardia
Report:(Lead 2 sequential rhythm strips) Sinus rhythm approximately 96/min Frequent VEBs, some in triplets or short runs of VT Concealed retrograde conduction Comment:This is a good example of the reciprocal R-P – P-R relationship. Much of the lower s
Second Degree AV Block
Report: Sinus rhythm One cycle episode of second degree AV block Comment: The patient kept no diary, but it is safe to presume she was asleep at 4 am. What is one to make of her blocked P waves (there was another, below)? Probably nothing, given that no
Neostigmine Toxicity
Report:Sinus rhythm 3:2 sino-atrial exit block Nonspecific T wave changes Comment:The patient was paralysed by vecuronium for a CAT scan after a traffic accident; she was brought back to Casualty and the relaxant was reversed with 5 mg neostigmine and
Complete Heart Block in Atrial Flutter
Report:Atrial flutter 240/min Third degree AV block Junctional escape rhythm 36/min LVH with ST/T changes ? incomplete LBBB Comment:One would think the patient would have been paced by now. Perhaps there were sound clinical reasons for delaying the de
Advanced Second Degree AV Block
Report:Sinus tachycardia 100/min Second degree AV block, advanced ST/T changes consistent with MI/ischæmia Comment:The conducted P waves are all associated with slightly variable first degree block and the QRS complex is narrow: the site of the block i
Sinus Tachycardia with Unusual Bigeminy
Report: Sinus tachycardia 112/min First degree AV block Second degree AV block[!xe "AV block:second degree:2-1 advanced" \b!] 2:1 in top & bottom strips Advanced in middle strip Junctional escape beats Escape-capture bigeminy [!xe "Escape-capture b
Unfinished Wenckebach
Report:Sinus rhythm 76/min Wenckebach phenomenon Atrial trigeminy, possible reentry beats of sinus origin, blocked Frequent VEBs, uniform Positive concordant precordial pattern Left atrial abnormality (LAA) Left anterior hemiblock (frontal axis –60o