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It's the ECG's that george rejects that makes George's ECG's the best.
Complete Heart Block in Atrial Flutter
Report:Atrial flutter 240/min Third degree AV block Junctional escape rhythm 36/min LVH with ST/T changes ? incomplete LBBB Comment:One would think the patient would have been paced by now. Perhaps there were sound clinical reasons for delaying the
CPR: Staring at the Monitor
Report: Ventricular fibrillation Sinus rhythm (post-cardioversion) Third degree AV block - ventricular asystole CPR artefact Comment: Nothing happened for over 7 seconds, the staff looking at the monitor. Closed chest compression should resume a lit
Sinus Bradycardia: Escape-Capture Bigeminy
Report:Sinus bradycardia 34 - 43/min Junctional escape beats Escape-capture bigeminy Phasic aberrant conduction, RBBB type Comment: The mechanism of the bigeminy is sinus bradycardia. Here the effective sinus cycle is the same as the actual one; in
Advanced Second Degree AV Block
Report:Sinus tachycardia 100/min Second degree AV block, advanced ST/T changes consistent with MI/ischæmia Comment:The conducted P waves are all associated with slightly variable first degree block and the QRS complex is narrow: the site of the block
Atropine Bradycardia
Report: Top: Sinus rhythm 83 - 85/min Second degree AV block Escape-capture bigeminy Ventricular rate 55/min Bottom: Sinus tachycardia 100/min 2:1 AV block Ventricular rate 50/min Comment: In the top strip, a basic 2:1 AV block is modified by th
Sinus Pauses
Report: Sinus rhythm Sinus pauses, probably sinus arrests Atrial escape beats Comment: The first beat in each group has a different-contoured P wave and is probably an atrial escape beat. This prevents the pause being measured, but it is already mo
Atrial Fusion Beats
Report:Sinus arrhythmia 64 – 80/min Junctional rhythm 58/min Atrial fusion beats Nonspecific ST/T changes Comment:Three P waves in the middle of the tracing are clearly intermediate in shape between sinus P waves and the junctional retrograde ones;
Classical Wenckebach
Report:Sinus rhythm 82 – 86/min Second degree AV block, Möbitz 1 Left atrial abnormality (LAA) Recent inferior infarction Comment:Most clinically observed Wenckebach periods are in some way atypical; the long ones are so as a rule. The commonest aty
Echo Beats
Report: Sinus rhythm (7 beats) Ventricular tachycardia (4-beat run) VEBs, couplet (two beats) Reentry (echo) beats of ventricular origin (two beats) Comment: There are more QRS complexes of ventricular than supraventricular origin here - 8 vs. 7. Bo
Möbitz 2 AV Block & Right Bundle Branch Block
Report:Sinus rhythm 90/min Second degree AV block, Möbitz 2 Right bundle branch block Borderline left atrial abnormality (LAA) Comment:All the PR intervals, before and after the block, are 0.16”. This is type 2 block, intraventricular: the LBB is bl