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It's the ECG's that george rejects that makes George's ECG's the best.
Runs of Ventricular Tachycardia
Report: Runs of monomorphic ventricular tachycardia 155/min Spontaneous termination Atrial and junctional escape beats Sinus tachycardia SVEBs ?multifocal atrial tachycardia Intraventricular conduction defect, possibly LBBB Comment: The patient's ar
Sinus Bradycardia & AIVR
Report: Sinus bradycardia 37 - 44/min Second degree AV block(unspecified) First degree AV block Accelerated idioventricular rhythm (AIVR) 57/min AV dissociation with interference ST segment elevation consistent with ischæmia/infarction Comment: This
Onset of Multiform VT
Report: Sinus tachycardia 110/min Intraventricular conduction delay, probably RBBB VEBs, possibly fusion beats Small voltage in frontal leads Multiform ventricular tachycardia 160 – 290/min Comment: First, third and sixth beats may be fusion beats, a
Atrial Tachycardia with LBBB Aberrancy
Report: Sinus rhythm SVEB (first beat) 4-beat run of atrial tachycardia Left bundle branch block aberrancy Comment: The first beat of the tachycardia is normally conducted, the other three are conducted with LBBB. While the initiating beat is atrial
Semiventricular Tachycardia
Report:Sinus rhythm 61/min. First degree AV block (PR 0.24"). VEBs, interpolated, in bigeminy. Semiventricular tachycardia 122/min. Probable old anterior MI. Comment:The tachycardia consists of sinus rhythm + interpolated VEBs. The term semiventricul
Rule of Bigeminy: VEBs & SVEBs
Report: Sinus rhythm First degree AV block (PR 0.26”) Right bundle branch block (QRS 0.14”) VEBs SVEBs, junctional Comment: All four SVEBs follow, after one cycle, the VEBs and the last VEB in the bottom strip follows a SVEB, perhaps reflecting the ‘
Parasystole[!xe "Parasystole" \t "See Ventricular parasystole"!]
Report: Sinus rhythm Ventricular parasystole 41 - 43/min Comment: The diagnostic feature, unrecognised by the xylocaine pushers, is the variable coupling interval and the fixed interectopic one. And the fusion beat. Parasystole is, generally, resistant
SVT with Pre-Existing Left Bundle Branch Block
Report:Supraventricular tachycardia 200/min[! XE "Supraventricular tachycardia:LBBB:QRS0.16\"" !] Northwest axis +230o Small voltage in frontal leads Left bundle branch block Comment:This is a difficult trace to diagnose with certainty: the main featu
Complex Complex of Complex Complexes
Report: Ventricular (fascicular) tachycardia 139/min Retrograde VA block , Möbitz 1 Incomplete Wenckebach sequences Reentry (echo) beats of ventricular origin Comment: As shown on the laddergram below, the longest retrograde RP interval in each triple
SVT with Right Bundle Branch Block Aberrancy
Report:SVT 212/min. Right bundle branch block (RBBB). Right axis deviation +120o probably left posterior hemiblock (LPHB). Comment:The likelihood of aberrancy rests with the rSR’ morphology in lead V1 and the absence of any bizarre features. Verapamil