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It's the ECG's that george rejects that makes George's ECG's the best.
Rapid SVT With RBBB Aberrancy
Report: Broad-complex, probably supraventricular, tachycardia 270/min ?Atrial flutter with 1:1 conduction and RBBB aberrancy Comment: The initial QRS looks normal in all the leads, while the late forces could “pass” for RBBB; the axis appears indetermin
Fascicular VT With Retrograde 2:1 Block
Report: Ventricular tachycardia 122/min Retrograde 2:1 V-A block “Retrograde 1o VA block (RP 0.24”)” Comment: The tachycardia originates in the posterior-inferior fascicle of the left bundle branch - it looks like atypical RBBB + LAHB. Despite the rel
VT Triplet in AF with Rapid Ventricular Response
Report:Atrial fibrillation with rapid ventricular response 147/min Triplet of ventricular tachycardia Right axis deviation +120o Possible old anteroseptal infarct Possible LVH with ST/T changes (RV6 > RV5) Comment:The three RR’ complexes are too late
Ventricular Tachycardia or Atrial Flutter?
Report:Ventricular tachycardia 250/min Comment:The trace is bizarre enough to qualify for VT; the marked respiratory swing in some leads gives it a multiform appearance. The rate, however, remains uniform and simultaneous leads confirm the basically uni
Double Defibrillation
Report:Atrial fibrillation. VEBs Multiform ventricular tachycardia Spontaneous termination (top) Transition to ventricular fibrillation (middle) Accelerated idioventricular rhythm (bottom) 70 - 76/min Retrograde conduction (first four and last two b
Right Ventricular Outflow Tract Tachycardia
Report:Ventricular tachycardia 155/min Possible A-V dissociation Comment:The tachycardia complexes are just under 0.12” in duration and have, in a way, left bundle branch block morphology with marked (+100o) right axis deviation. There appear to be diss
Fast Ventricular Tachycardia with Visible AV Dissociation
Report: Ventricular tachycardia 214/min AV dissociation Comment: The morphology is somewhat equivocal, V1 showing RR’ complexes with right rabbit ear taller than the left; nevertheless, they are essentially monophasic and over 0.14”, favouring ectopic o
VEBs: Retrograde Conduction
Report: Sinus rhythm VEBs, trigeminal, uniform Retrograde VA conduction Left atrial abnormality (LAA) Borderline right atrial abnormality (RAA) Probable old posterior infarction Nonspecific ST/T changes Comment: The compensatory pauses are longer t
Slow Bidirectional Tachycardia
Report: Bidirectional tachycardia 104/min Retrograde VA conduction Junctional escape beats AV dissociation Sinus rhythm 95 – 98/min Overdrive (post-ectopic) SA suppression Comment: The rhythm is obviously bigeminal, with narrow rS
Ventricular Tachycardia
Report: Ventricular tachycardia 190/min Comment: There is a monophasic R in V1, QS in V4-6 and nonsense axis in the frontal plane - the trace is virtually diagnostic of VT. One could think of atypical RBBB with anterolateral infarction or WPW with antegr