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It's the ECG's that george rejects that makes George's ECG's the best.
Idiopathic Ventricular Tachycardia
Report: Ventricular tachycardia 181/min Comment: The rate is made irregular by the presence of shorter cycles, as in the Case 2 or Case 61; this is no impediment to the diagnosis of VT. As in the Case 2, the QRS morphology is diagnostic of an ectopic ven
Another Irregular Monomorphic Ventricular Tachycardia
Report: Ventricular tachycardia 152/min Comment: Marked cycle length irregularity is uncommon in sustained monomorphic VT, especially at faster rates, except at the onset or termination of the paroxysm58. Nevertheless, slight variation in cycle length is
Shocking VT Cheating the Paddles
Report: Ventricular tachycardia 210/min Spontaneous termination Sinus rhythm Left atrial abnormality (LAA) VEBs Acute anterior infarction Movement artefact Leads V2-3 missing Comment: The tracing is rather chaotic, secured in a hurry on a sick pat
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
Two Wrongs Making Two Rights!
Report: Sinus tachycardia 110/min Left bundle branch block Left axis deviation Runs of ventricular tachycardia 150 - 160/min AV dissociation Ventricular fusion beats Comment: This is from Schamroth himself: two wrongs sometimes make a right60. The t
Positive Concordant Precordial Pattern in VT
Report: Ventricular tachycardia 175/min Comment: The diagnosis depends on: - concordant (positive) precordial pattern - monophasic R wave in V1 - AV dissociation - known pre-existing LBBB62 Below (Fig 67a) is his 12-lead ECG 3 hours earlier, in mult
Negative Concordant Precordial Pattern in VT
Report: Ventricular tachycardia 170/min Comment: All the chest leads show negative QRS complexes. In VT, this used to be one of the criteria distinguishing it from aberrantly conducted SVT; now only positive concordance is still held valid as a VT criter
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
R-on-T VT?
Report: Sinus rhythm Left bundle branch block Ventricular fusion beat (8th complex) Ventricular tachycardia (flutter)188/min Comment: The answer to the question is: none - no significance! It looks, at first, that the flutter starts with an R-on-T VE
Age Hysteresis in Thump Cardioversion
Report: Sinus tachycardia 120/min Ventricular tachycardia, polymorphous, non-sustained, 258/min (top) & variable rate SVEB Thump artefact (marked) Comment: The demonstration was deemed quite successful, until the monitor recording came out in print. T