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It's the ECG's that george rejects that makes George's ECG's the best.
Heart Transplant
Report: Sinus rhythm 92/min Another sinus rhythm, 66/min Atrial ‘parasystole’ Small voltage Comment: This was, of course, a “trick question” - except that the answer should suggest itself without even looking at the trace. Not many types of surgery
Not a Sinus Bradycardia
Report: Sinus rhythm Sinus arrest Junctional escape beats Retrograde conduction Non-phasic aberrant conduction Escape-capture bigeminy Comment: The phenomenon of escape-capture bigeminy depends on the coincidental arithmetic relationship between the
Single Beat ECG
Report:Atrial flutter 180/min Third degree AV block Ventricular escape beat Comment:This looks like an agonal ECG, taken by inertia of the admission “workup” when the patient was already as good as dead. Not so: he was transferred to CCU, where he also
Jarisch-Bezold Reflex
Report: Atrial fibrillation with slow response Junctional escape beat(s) Comment: There is no observable atrial activity, but the patient had atrial fibrillation since admission. The strips could pass, electrocardiographically, for sinus arrest or atria
Complete Heart Block: Anterior MI
Report: Sinus tachycardia Third degree AV block Ventricular escape beats and rhythm Comment: The slowing of the sinus rate in the forth and fifth strips was ominous, reflecting sinus node hypoxia or ischæmia. The ventricular escapes were slow and unre
Sudden Ventricular Standstill
Report: Sinus tachycardia 100/min Borderline first degree AV block Left bundle branch block Third degree AV block Ventricular escape beats (bottom) Comment: This is a typical example of AV block in acute anterior infarction: RBBB or LBBB (as here) fo
Concealed Retrograde Conduction
Report:Sinus rhythm 65/min VEBs, mostly interpolated Nonspecific ST/T changes Comment:For comparison, the last VEB blocks the ensuing P wave completely, producing a fully compensatory pause. Other VEBs merely prolong the subsequent PR interval, though
Carotid Sinus Massage: 2o AV Block
Report: Sinus rhythm ?Accelerated conduction (PR interval 0.11”) Second degree AV block Comment: The massage was performed in the hope of unmasking WPW conduction, of which there is a soupçon in the initial slurring of the QRS. Instead of broadening th
Sleeper With No Apnœa
Report:Sinus arrhythmia Variable PR interval Second degree AV block, unspecified Single non-conducted P wave Comment:The block appears due to the respiratory variation of vagal tone and may have no more significance than a similar block induced in a h
Xylocaine Tachycardia
Report:Sinus tachycardia 114/min (middle strip) SVEBs Blocked, in bigeminy (top) Aberrantly conducted, in bigeminy (bottom) Comment: Xylocaine has some atropinic effect and may have facilitated AV conduction, impairing at the same time the intraventr