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It's the ECG's that george rejects that makes George's ECG's the best.
AIVR & Retrograde Conduction
Report: Sinus arrhythmia VEB (second complex in the top strip) Atrial (?junctional) escape complex (9th in the top strip) Accelerated idioventricular rhythm 86-89/min Retrograde conduction Fusion beats Comment: Typically, the retrograde 1:1 conducti
Verapamil Wenckebach
Report: Sinus rhythm Möbitz 1 (Wenckebach) second degree AV block Comment: This is a very low-grade block and the patient is monitored anyway. Nothing needs be done immediately. In the long term, an antihypertensive without AV blocking properties should
Respiratory & Ventriculophasic Sinus Arrhythmia
Report: Sinus rhythm Respiratory sinus arrhythmia Ventriculophasic sinus arrhythmia Second degree AV block, Möbitz 1 Period of 2:1 conduction + one 5:4 cycle LVH with ST/T changes ± digoxin effect Comment: The ventriculophasic effect – P-P intervals
Möbitz I & II Combined: Arrhythmia Simulator
Report:Sinus rhythm. Möbitz 1 [Wenckebach] second degree AV block, with 3:2 and 4:3 periods [top strip]. Möbitz 2 second degree AV block, with 3:2 and 4:3 periods. Complete RBBB coincident with Möbitz II block. Complete AV block [bottom strip]. Comme
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 intervals
Concealed Extrasystoles & Pseudoblock
Report:Multifocal atrial rhythm VEBs, multiform Fusion beat Second degree AV block, probable pseudoblock Comment:This would have been a multifocal atrial tachycardia (MAT) if the rate was over 100/min. AV block is uncommon in MAT and should be even le
Junctional Bigeminy & Curious ST Elevation?
Report: Sinus arrest Junctional escape rhythm Bigeminy ? reentry ? different junctional foci ? junctional exit block Post-extrasystolic ST segment elevation Comment: The above diagnoses, reasonable as they may sound, were all wrong. The only person a
Notched P Wave
Report: Sinus rhythm Left atrial abnormality (LAA) Widely notched P wave Sino-atrial exit block Probable atrial infarction Comment: The wide P wave (0.18”) is produced by an atrial conduction defect, usually involving the interatrial tract (Bachman
Alternate-Beat Wenckebach Caused by VEBs
Report:Sinus rhythm 92/min VEBs, couplets and triplets R-on-T phenomenon Wenckebach second degree AV block for alternate P waves Acute or recent inferior infarction Comment:The first two consecutively conducted P waves show slight but definite PR int
Sino-Atrial Wenckebach
Report: Sinus rhythm Left atrial abnormality (LAA) 5:4 and 4:3 sino-atrial exit block, Möbitz 1 Normal QRS/T Comment: In each pause, an entire P-QRS-T sequence is missing; the pause itself is less long than two sinus cycles. There is slight accelerati