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It's the ECG's that george rejects that makes George's ECG's the best.
Hyperkalæmia: Sine Curve Tachycardia
Report: First-second strips: Broad-complex rhythms of uncertain origin Third-fourth strips: ‘Sine curve’ tachycardia Fifth-sixth strips: Broad-complex tachycardia Movement, probably CPR, artefact Seventh strip (30 minutes since the top strip): Sin
Short Compensatory Pauses?
Report:Sinus rhythm. VEBs, some in pairs (couplets). SVEBs, couplet, following the last VEB couplet. Comment:The single VEB in the middle of the strip appears to have the usual, fully compensatory pause, being contained in a space of two sinus cycles.
Old Anterior MI in VT & VEBs
Report:Ventricular tachycardia 200/min Probable old anteroseptal infarction Comment:The VT has a deep Q wave, QrS morphology and associated ST elevation resembling an infarct pattern. Sometimes the previous infarct is only visible when revealed by VEBs.
Shocking VT Cheating the Paddles
Report: Ventricular tachycardia 210/min Spontaneous termination Sinus rhythm Left atrial abnormality (LAA) VEBs Acute anterior infarction Movement artefact Leads V2-3 missing Comment: The tracing is rather chaotic, secured in a hurry on a sick pat
Shifting Rabbit Ears in VT
Report: Ventricular tachycardia 152/min Possible old anterior infarction Comment: There is a monophasic R, possibly a qR, in V1, with northwest axis in the standard leads and QSs in V5-6. The patient in fact had an old anterior MI (Fig 106a below, in AF
Dangerous WPW Syndrome
Report: Atrial fibrillation Rapid response 240-300/min Anomalous (WPW) conduction, type ‘B’ Comment: If the observed cycle lengths during atrial fibrillation are less than 0.25” (250 milliseconds sounds more ‘learned’ in this context), the patient is
Non-Sustained Ventricular Tachycardia: Fusion and Narrow Capture Beats
Report:Sinus tachycardia 108/min Runs of ventricular tachycardia 134/min Fusion beats Possible old inferior infarction Nonspecific ST/T changes Comment:The diagnosis of ventricular tachycardia is based on (i) R or qR complexes in V1; (ii) A-V dissoci
Runs of Ventricular Tachycardia
Report:Sinus rhythm 85/min VEBs, couplets Runs of ventricular tachycardia 164/min Left atrial abnormality (LAA) Left bundle branch block V2-V3 lead reversal Comment:The patient had many brief runs of VT, always introduced by the qR VEB couplets. The
Two Rhythms of Indubitably Ventricular Origin
Report: Pacemaker rhythm VEBs Ventricular fibrillation CPR artefact (end of bottom strip) Comment: It has been said (the actual reference eludes me) that the only two rhythms of electrocardiographically certain ventricular origin are ventricular fib
AIVR
Report:Accelerated idioventricular rhythm 84/min Marked respiratory swing Comment:The 0.16” qRR’ complexes in V1 are the best evidence for the ventricular ectopic origin of the rhythm; lack of septal q in lead 1 and rS in V6 also lend some support. The