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It's the ECG's that george rejects that makes George's ECG's the best.
Ventricular Tachycardia: A-V Dissociation
Report:Ventricular tachycardia 150/min A-V dissociation Comment:This is, again, a LBBB-like tachycardia with normal axis, in fact diagnosed by the computer as “LBBB”. This is obviously not the case in view of the slow and notched, laboured descent to th
Monomorphic Ventricular Tachycardia: RV1 & QSV4-6
Report: Ventricular tachycardia 214/min Comment: The monophasic R in V1 and QS in the left ventricular leads is practically diagnostic of VT. Absence of R waves in V4-6 also precludes an antidromic pre-excited tachycardia99. The patient ascribed the ar
SVT with LBBB
Report: Supraventricular tachycardia 152/min Left bundle branch block Comment: The rS complexes in lead V1 are perfectly ‘normal’ LBBB complexes in that the initial R wave is narrow, the S downstroke is sharp and the upstroke slurred. The frontal plane
WPW ‘A’ in AF: Positive Concordant Precordial Pattern
Report:Atrial fibrillation with (very) rapid ventricular response. Anomalous conduction (WPW type ‘A’) Wolff-Parkinson-White Syndrome Comment:The rate approaches 300/min but is obviously irregular. The trace is pathognomonic of WPW. The positive concor
Sotalol Torsades de Pointes
Report: Sinus rhythm 67/min Borderline first degree AV block PR 0.20” VEBs, frequent Runs (3-beat, 5-beat) of multiform ventricular tachycardia Incomplete LBBB Prolonged QT interval Comment: The patient’s torsades (Fig 56a) were treated by MgSO4,
Fusion Beats Starting Runs of VT
Report:Sinus arrhythmia Ventricular tachycardia 132-185/min, non-sustained25 1:1 retrograde conduction Fusion beat Comment: The fusion beat starting the paroxysm of VT is diagnostic of the ventricular origin of the latter. Dressler beats are fusion
Unread Pre-Discharge ECG
Report: Sinus rhythm 58/min Left axis deviation (LAD) - 50o Intraventricular conduction defect (IVCD) Probably LAHB + non-specific conduction delay Possible LVH Giant anteroseptal T wave inversion Prolonged QT interval 0.660” (QTc for 58/min 0.45”)
Ventricular Flutter
Report: Top: Ventricular flutter 300/min Middle: Accelerated idioventricular (?junctional) rhythm 78/min Sinus capture beats Probable AV dissociation Bottom: Atrial tachycardia 113/min Comment: In ventricular flutter, the distinction between QRS,
Semiventricular Tachycardia
Report: Sinus tachycardia 100/min VEBs in bigeminy Possible ventricular fusion Left axis deviation (LAD) – 40o LVH with ST/T changes Inferior infarction, probably old Comment: Semiventricular is one of my own neologisms. Foreigners often take greate
VT Slowing into AIVR
Report: Sinus rhythm Ventricular tachycardia 140/min Accelerated idioventricular rhythm 80-100/min Comment: Oddly enough, I have never seen AIVR speed up into a VT, but VT slowing into an AIVR is common enough. It is usually a relatively slow VT which