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It's the ECG's that george rejects that makes George's ECG's the best.
Broad-Complex Ventricular Tachycardia
Report:Ventricular tachycardia 163/min Comment:This example would be difficult to assign LBBB- or RBBB-like status in view of the RS complex in V1. Nevertheless, the QRS duration of approximately 0.20” is in excess of 0.16” required for LBBB-like VT, let
Rabbit Ears For and Against
Report:Upper strip: Sinus tachycardia 104/min VEBs, late-diastolic (R-on-P “phenomenon”) Lower strip: Sinus rhythm SVEBs, probably of atrial origin RBBB aberrancy Couplet, second SVEB non-conducted Comment:Looking at the rabbit from behind, if the
Agonal Ventricular Fibrillation: 12-Lead ECG
Report: Ventricular fibrillation 160/min Comment: It is instructive to compare the lead 2 rhythm strip at the bottom with the simultaneously recorded leads above. This demonstrates continuous undulating activity even where, in a single lead, there appear
Repetitive Multiform Ventricular Tachycardia
Report: Sinus tachycardia 108/min Repetitive multiform ventricular tachycardia 118-280/min Comment: There is no mistaking the bursts of VT for aberrancy. It may well be a ventricular form of the Parkinson-Papp syndrome – runs of tachycardia separated by
QRs VEBs in V1
Report: Sinus rhythm VEBs, late-diastolic, in bigeminy Comment: The VEBs have an Rs morphology; the Q wave is in fact a superimposed, dissociated sinus P wave. The dissociation is incomplete in the case of the 6th and the 10th complex, where ‘a tad of f
Milrinone-Induced Bidirectional Ventricular Tachycardia
Report: Atrial fibrillation with rapid response VEBs, some in dimorphic couplets Four-beat run of bidirectional ventricular tachycardia 126/min Comment: The VT obviously consists of two dimorphic couplets in a row; its significance in the absence of di
Slow Ventricular Tachycardia
Report: Ventricular tachycardia 116/min Retrograde conduction Probable acute anterior infarction Comment: The basic LBBB-like morphology with RAD alone designates the tachycardia as ectopic ventricular27; its slurred S downslope in V1-2 is also diagnos
Bigeminal Ventricular Tachycardia
Report:Ventricular tachycardia 173/min Alternating cycle length Comment:The patient had presyncopal paroxysms of VT, though to be SVT by many because of its relatively narrow QRS. They were even more convinced when, in Casualty, he reverted to sinus rhy
Right Ventricular Outflow Tract Tachycardia
Report:Ventricular tachycardia 165/min Irregular Non-sustained Sinus tachycardia 125/min Comment:This is a fairly typical RVOT tachycardia, with marked right axis deviation (inferiorly directed, from the “roof” of the RV) and Rosenbaum pattern in V1 (
Pædiatric SVT
Report: Orthodromic atrioventricular re-entrant tachycardia 333/min Possible flutter with 1:1 conduction Left bundle branch block ?Wolff-Parkinson-White syndrome ( see below) Comment: The rate is very fast, but an infant’s flutter can be much faster s