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It's the ECG's that george rejects that makes George's ECG's the best.
Positively Concordant Trigeminy
Report: Sinus tachycardia 130/min VEBs in trigeminy Left atrial abnormality Minor T wave changes Comment: The VEBs are monophasic R complexes from V1 through V6. This is diagnostic of ventricular ectopic origin. A regular run of such beats, however, w
Tachycardie Préfibrillatoire
Report: Ventricular tachycardia, multiform > 300/min ?Torsade de pointes ?Ventricular flutter Sinus rhythm VEBs ? aberrant(RBBB) junctional premature beats R-on-T phenomenon Comment: This is the fastest spontaneously terminating VT I have seen so fa
Non-Sustained Multiform Ventricular Tachycardia
Report: Atrial fibrillation with rapid response Intraventricular conduction delay (IVCD), probably left bundle branch block Two runs of multiform ventricular tachycardia, approx. 250/min Sinus rhythm, SVEBs and runs of atrial tachycardia (bottom strip)
Fascicular Ventricular Tachycardia
Report:Ventricular tachycardia 141/min Comment:The complexes are between 0.10 and 0.12” in duration (even narrower than in Case 11), with left axis deviation –40o. The morphology is that of incomplete LBBB except for the all-important lead V1, where ther
Acute Infarct Pattern in Ventricular Tachycardia
Report: Ventricular tachycardia 120/min Spontaneous termination & onset in the (subsequent) rhythm strip Sinus escape beat Probable anterior infarction Comment: There is little doubt about the acute anterior infarction, despite the bizarre complexes.
VEBs: Trigeminy & Trigeminy
Report:Sinus arrhythmia Left atrial abnormality (LAA) First degree AV block Atrial ectopic beat (second P wave in the bottom strip) VEBs in trigeminy Concealed retrograde conduction Comment:In the top strip, every third P wave is blocked by a VEB. I
Positive Concordant Precordial Pattern in VT
Report: Ventricular tachycardia 175/min Comment: The diagnosis depends on: - concordant (positive) precordial pattern - monophasic R wave in V1 - AV dissociation - known pre-existing LBBB62 Below (Fig 67a) is his 12-lead ECG 3 hours earlier, in mult
Negative Concordant Precordial Pattern in VT
Report: Ventricular tachycardia 170/min Comment: All the chest leads show negative QRS complexes. In VT, this used to be one of the criteria distinguishing it from aberrantly conducted SVT; now only positive concordance is still held valid as a VT criter
Minuscule VEBs
Report: Sinus rhythm 90/min VEBs, bigeminal and trigeminal Comment: The minuscule VEBs simulate blocked P’ waves except that (i) they either march through sinus P waves (upper strip) or, at times, (ii) create retrograde P waves of their own (lower strip
QrV1 Fascicular Tachycardia
Report:Ventricular tachycardia 180/min Comment:The QRS is only 0.10” long, qualifying this as a fascicular VT. Its ventricular source is easily detected in V1, where the broad Q wave slopes obligingly over the requisite 0.06” to its nadir. The gracile R