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It's the ECG's that george rejects that makes George's ECG's the best.
R-on-T Ventricular Fibrillation
Report: Sinus tachycardia Second degree AV block VEBs Bigeminy R-on-T phenomenon Ventricular fibrillation ST segment elevation consistent with epicardial injury Comment: The VEB with the shortest coupling interval initiates VF. It comes right on to
Idioventricular Rhythm & AV Block
Report: Sinus rhythm 84/min Second degree AV block, Möbitz 1 (Wenckebach) Idioventricular rhythm 43/min AV dissociation Fusion beats (4th beat in the top strip, last in second strip) VEBs, small, possibly also fusion beats (bottom strip) Comment: Du
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
Interpolated VEBs & Couplets
Report:Sinus rhythm VEBs, some interpolated, some (bottom strip) in couplets (pairs) Comment:In the top strip, the first VEB blocks the ensuing sinus P wave, creating a fully compensatory pause. The other two penetrate the AV junction retrogradely (conc
R-on-P Bigeminy
Report:Sinus rhythm 93/min First degree AV block (PR 0.28”) VEBs, bigeminal Early transition (counterclockwise rotation) Nonspecific ST/T changes Comment:The VEBs are easily recognised for what they are, with obvious dissociation from the preceding (
Idioventricular Rhythm in Advanced AV Block
Report: Sinus rhythm Advanced (high-grade) second degree AV block Left bundle branch block Idioventricular escape rhythm Right bundle branch block morphology Ventricular fusion beats Comment: The escape rhythm originates from the distal left bundle
Reentry (Echo) Beats of Ventricular Origin
Report: Sinus rhythm VEBs Bigeminal Couplets & triplets Retrograde VA conduction First degree VA block Wenckebach conduction Reentry Post-ectopic sino-atrial depression Junctional escape beats Comment: There are two reentry beats: third last in
VEB-Induced AV Block
Report: Sinus rhythm. VEBs Second-degree AV block, advanced. Junctional escape beats. Intraventricular conduction delay, QRS 0.12". Comment: All the occurrences of the AV block follow the VEBs. This is “an extremely rare phenomenon”, with only three
Atrial or Ventricular Fibrillation?
Report: Top: Atrial fibrillation with third degree AV block, or ventricular fibrillation Ventricular standstill Middle: Atrial fibrillation Third degree AV block Junctional rhythm 68/min Bottom: Sinus rhythm 98/min Third degree AV block Junction
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