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It's the ECG's that george rejects that makes George's ECG's the best.
Idioventricular Escape Rhythm
Report: No definite atrial activity Idioventricular escape rhythm Right and left bundle branch block morphology Comment: It is quite common to have two escape foci looking like LBBB and RBBB; similarly, patients with a BBB often have escape beats with
R-on-T VT?
Report: Sinus rhythm Left bundle branch block Ventricular fusion beat (8th complex) Ventricular tachycardia (flutter)188/min Comment: The answer to the question is: none - no significance! It looks, at first, that the flutter starts with an R-on-T VE
Thioridazine Overdose
Report:Junctional/sinus rhythm VEB, dimorphic couplet Non-sustained ventricular tachycardia (torsade de pointes) Comment:The torsades were very frequent, but the 12-lead ECG did not catch the best of them. Nevertheless, the one shown here is reasonably
VT Cardioversion: From Bad to Worse
Report: Broad complex (QRS 0.14”) tachycardia 204/min Ventricular fibrillation (post 150 Joule DCC) Sinus bradycardia (post 300 Joule DCC) Normal sinus rhythm Comment: The synchronised countershock fell on the terminal QRS complex, well away from the
SVT or VT?
Report: Broad-complex tachycardia 154/min Comment: The tachycardia has unusual RAD, possibly a qR morphology in V1 and virtually concordant positive precordial pattern; yet it resembles RBBB and there appears to exist a 1:1 atrial activity (best seen as
LBBB-Like VT in Patient with RBBB
Report: Ventricular tachycardia 178/min LBBB morphology with left axis deviation Comment: Lead V1 has a broad primary R wave (0.04”), distinguishing the ectopic morphology from LBBB conduction. Also, the patient’s basic conduction is RBBB (shown in Case
Arrhythmogenic Right Ventricular Dysplasia
Report: Double sensitivity (1mV = 20mm) Sinus rhythm 73/min VEB Right axis deviation (RAD) +110o Right atrial abnormality (RAA) Absolute small voltage (note the 20 mm/mV calibration) Poor R wave progression Nonspecific ST/T changes Epsilon wave &
Another Variant Form of Bidirectional Ventricular Tachycardia
Report: Bidirectional ventricular tachycardia 184/min Comment: Like in the preceding case, lead V1 has basic LBBB morphology. This patient, with known pre-existing LBBB, received adenosine for presumptive SVT, without effect. Sotalol, 80 mg IV, abolished
Ventricular Tachycardia?
Report: Broad complex tachycardia 154/min ?Sinus or SVT with aberrant conduction and massive ST segment elevation Right axis deviation (RAD) +140o Right bundle branch block Probable acute inferior infarction Comment: The tachycardia looks bizarre eno
R-on-T VEB: Ventricular Fibrillation
Report: Sinus rhythm 92/min (top) R-on-T VEB Ventricular fibrillation DC defibrillation (third strip) Post-countershock sinus bradycardia, VEB Sinus tachycardia 115/min (bottom) Comment: A reperfusion arrhythmia is not expected a day after. At any r