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It's the ECG's that george rejects that makes George's ECG's the best.
Two Wrongs Making Two Rights!
Report: Sinus tachycardia 110/min Left bundle branch block Left axis deviation Runs of ventricular tachycardia 150 - 160/min AV dissociation Ventricular fusion beats Comment: This is from Schamroth himself: two wrongs sometimes make a right60. The t
Bigeminy or Quadrigeminy?
Report: Sinus rhythm approx. 54/min First degree AV block, variable VEBs, bigeminal Concealed retrograde conduction Pacemaker escape beats Comment: This is an allorhythmia, a repetitive sequence of (in this case) four beats. The VEBs themselves are,
VEB-Induced AV Block
Report: Sinus rhythm. VEBs Second-degree AV block, advanced. Junctional escape beats. Intraventricular conduction delay, QRS 0.12". Comment: All the occurrences of the AV block follow the VEBs. This is “an extremely rare phenomenon”, with only three
Another RVOT VT: Retrograde 1:1 Conduction
Report:Ventricular tachycardia 168/min Comment:This is a good example where conduction sequences and QRS morphology do not help in making the diagnosis. Each QRS is followed after 0.18” by a sharp upright P wave in V1 consistent with a retrograde P wave;
VT or SVT in a Patient with Known LBBB?
Report:Ventricular tachycardia 174/min. Comment:The QR morphology in lead V1, however, is that of VT, unless there was a previous anteroseptal infarction. The marked LAD -90o is neither here or there, diagnostically. Interestingly, a recent study using t
Irregular Monomorphic Ventricular Tachycardia
Report:Ventricular tachycardia 128-170/min.[! !][! XE "Ventricular tachycardia:uniform" \t "See monomorphic" !] Periods of bigeminy Comment:It is uncommon for monomorphic VT to be irregular. The irregularity, however, is confined to long-short cycle alt
The Frailty of Lead 2 Monitoring
Report:Sinus rhythm 78/min VEBs in bigeminy Right bundle branch block Small voltage Possible old anterior infarction Comment:Leads V1-5 clearly distinguish between the ectopic ventricular and the sinus RBBB conduction. Lead 2 performs, as usual, badl
Runs of Aberrant SVT
Report: Sinus rhythm Incomplete right bundle branch block SVEBs, some in couplets, of atrial origin SVEBs, single, of junctional origin, dissociated Short runs of atrial tachycardia Aberrant conduction, RBBB type, variable Comment: The QR morphology
Atrial to Ventricular Fibrillation
Report: CPR massage artefact throughout Supraventricular bradycardia, probably atrial fibrillation with slow response ST segment elevation consistent with infarction or ischæmia VEB Ventricular fibrillation Comment: The CPR artefact during AF means
Sudden Death During Holter Monitoring
Report:Top: Sinus rhythm Dimorphic VEB couplet Middle: Deepening T wave inversion VEB R-on-T VEB following post-ectopic pause Ventricular tachycardia 187/min following R-on-T VEB Bottom (after carotid sinus massage): Ventricular tachycardia 212