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It's the ECG's that george rejects that makes George's ECG's the best.
A Unique LBBB Aberrancy
Report: Probable supraventricular tachycardia 182/min Right axis deviation +110o LBBB Comment: The QRS complexes in V1-2 take almost 0.08” to reach the nadir of their S waves, but this is not immediately obvious on inspection. The initial QRS in V1 is
Alternating Ventricular Tachycardia
Report : Ventricular tachycardia 136/min Alternating QRS morphology throughout Comment : This is a good example of how alternating and bidirectional tachycardia are basically the same. This one would be called bidirectional if only the negative axis
Interpolation in Alternate Cycles
Report:Sinus rhythm 51/min VEBs, interpolated in alternate cycles Trigeminy Non-specific ST/T changes Comment:The VEBs are typical, with nonsense axis and qR morphology in V1; their concealed retrograde conduction114, prolonging the PR intervals of th
CPR Artefact
Report : Junctional bradycardia < 30/min CPR artefact 130/min Presumptive electro-mechanical dissociation (EMD) Comment:The patient had numerous episodes of true pulseless VT and VF. This strip was kept as a representative record. The confusing featu
Sotalol Sensitivity
Report:Atrial ?junctional bradycardia 42/min VEB Long QTc 0.54” Comment:The first beat is distorted by movement artefact: its repolarisation in L1 and L3 and preserved QRS shape in simultaneous L2 distinguish it from a VEB. The striking abnormality is
Slow Ventricular Tachycardia
Report:Ventricular tachycardia 120/min Comment:The morphology in V1, with dominant left rabbit ear in a monophasic R complex, and of positive precordial concordance, is practically diagnostic of ventricular ectopic origin. This tracing is of interest be
The Frailty of Lead 2 Monitoring
Report:Sinus rhythm 78/min VEBs in bigeminy Right bundle branch block Small voltage Possible old anterior infarction Comment:Leads V1-5 clearly distinguish between the ectopic ventricular and the sinus RBBB conduction. Lead 2 performs, as usual, badl
VT: R in V1: Sharp Upstroke and Slurred Descent
Report:Ventricular tachycardia 186/min Comment:The qR in V1 (and V2) has a sharp ascent and slower descent, an equivalent of the rabbit-ear sign of VT112. In the frontal plane, the QRS axis is in no-man’s land at about +260o. There is little reason to do
Thioridazine Overdose
Report:Junctional/sinus rhythm VEB, dimorphic couplet Non-sustained ventricular tachycardia (torsade de pointes) Comment:The torsades were very frequent, but the 12-lead ECG did not catch the best of them. Nevertheless, the one shown here is reasonably
Ventricular Escape Beat
Report : Sinus rhythm 70/min SVEBs VEB Left atrial abnormality (LAA) Left anterior hemiblock Right bundle branch block Prolonged QT interval (QTc 0.50”) Nonspecific ST/T changes Possible LVH (R in aVL >15mm, R1 + S3 > 27mm) Probable anterosepta