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It's the ECG's that george rejects that makes George's ECG's the best.
Monomorphic Ventricular Tachycardia
Report:Ventricular tachycardia 150/min Comment:In lead V1 the QRS is a monophasic R wave with left rabbit ear taller than the right, with duration just over 0.14”. These features, along with bizarre frontal plane axis, are sufficient to diagnose ventricu
Arrhythmogenic Right Ventricular Dysplasia
Report: Ventricular tachycardia 162/min Comment: The patient had dilated right atrium and ventricle, with normal, mildly hypertrophied left ventricle. The coronary arteries were also normal. In Casualty, adenosine 6 + 12 mg, verapamil 2.5 mg, then sotalo
Alternate Cycle Antecedent P Waves
Report:Ventricular tachycardia 125/min Probable 2:1 retrograde conduction Comment:The diagnosis of VT is supported by the QRS duration of 0.18”, the indeterminate abnormal axis and the left rabbit ear in V1 being taller than the right. The relatively
Movement Artefact
ReportSinus tachycardia 141/min Borderline left atrial abnormality (LAA) Counterclockwise rotation (early transition) Non-specific ST/T changes Movement artefact in standard leads CommentThe artefact in Lead 1 mimics a dimorphic couplet of VEBs, and
Precordial Masquerading Bundle Branch Block
Report :Atrial fibrillation with rapid ventricular response 138/min Northwest axis +260o Right bundle branch block (Probable) left anterior hemiblock Possible old anterior myocardial infarction Nonspecific ST/T changes Positive concordant precordial
Runs of Anomalous Conduction
Report :WPW syndrome Atrial fibrillation Runs of anomalous conduction (Wolff-Parkinson-White type ‘A’) Borderline small voltage and T wave changes in frontal leads Comment :Syndrome, rather than mere conduction, because of the arrhythmia. The patient
Fusion Terminating AIVR
Report: Sinus rhythm 74 – 80/min Accelerated idioventricular rhythm 69 – 74/min Ventricular fusion beat Comment: The AIVR accelerates, but to no avail: the faster sinus rhythm takes over by the middle of the recording. Between the two is a typical fusi
Poor Man’s Exercise Test
Report: Sinus rhythm VEBs, multiform, some interpolated Post-ectopic repolarisation changes ST segment depression Post-ectopic depolarisation changes Rate-dependent right bundle branch block Comment: The presence of intermittent RBBB somewhat sp
Ventricular Tachycardia or LBBB?
Report:Ventricular tachycardia 166/min. Fusion beats. Comment:The complexes could "pass" for LBBB aberrancy, except for QR morphology in lead 1 and the frontal plane axis of +85o. The occasional narrowing of the QRS is most likely result of ventricular
R-on-P Bigeminal Tachycardia
Report: (Lead V1) Sinus tachycardia 108/min Incomplete right bundle branch block VEBs (late-diastolic, R-on-P) in bigeminy Comment: The broader complexes, terminating slightly shorter cycles, fall at the end of sinus P waves. A “tad of fusion” cannot