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It's the ECG's that george rejects that makes George's ECG's the best.
Right Ventricular Outflow Tract Tachycardia
Report:Ventricular tachycardia 155/min Possible A-V dissociation Comment:The tachycardia complexes are just under 0.12” in duration and have, in a way, left bundle branch block morphology with marked (+100o) right axis deviation. There appear to be diss
VEBs: Trigeminy & Trigeminy
Report:Sinus arrhythmia Left atrial abnormality (LAA) First degree AV block Atrial ectopic beat (second P wave in the bottom strip) VEBs in trigeminy Concealed retrograde conduction Comment:In the top strip, every third P wave is blocked by a VEB. I
VT, then SVT
Report: Sinus rhythm 90/min PR 0.20” Triplet of polymorphous ventricular tachycardia 120/min 5-beat run of atrial tachycardia 118/min Left anterior hemiblock Old anterior infarction Comment: Following the VT, an atrial escape beat is followed by
Minuscule VEBs
Report: Sinus rhythm 90/min VEBs, bigeminal and trigeminal Comment: The minuscule VEBs simulate blocked P’ waves except that (i) they either march through sinus P waves (upper strip) or, at times, (ii) create retrograde P waves of their own (lower strip
Trigeminy with a Pacemaker
Report:Sinus rhythm 90/min AV block, undefined AV dissociation Pacemaker rhythm 48/min Failure to sense Ventricular fusion beat VEBs, interpolated Sinus capture beats, with first degree AV block Comment:The VEBs are interpolated between the LBBB-l
Iatrogenous Pheochromocytoma
Report:Sinus tachycardia 148 -160/min VEBs Frequent Multiform Bigeminal Couplets Run of 4 (VT) Comment:The almost six fold rise in the systolic BP was a surprise. Once the patient survived the effects of the generous dose of adrenaline (a dose norm
Fusion VEBs in Trigeminy
Report:Sinus tachycardia VEBs in trigeminy Fusion beats Comment:The degree of fusion varies with the P-VEB interval. With only a minor degree of ventricular contribution to fusion, the late-diastolic VEBs may pass unnoticed or be mistaken for effects o
Far-Reaching Interpolation
Report:Sinus rhythm. VEBs, 2 interpolated. Comment:The concealed retrograde conduction governing the PR interval after an intercalated VEB rarely affects more than one cycle. In the top and middle strips, the first VEB is intercalated and prolongs the
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
Short Compensatory Pauses?
Report:Sinus rhythm. VEBs, some in pairs (couplets). SVEBs, couplet, following the last VEB couplet. Comment:The single VEB in the middle of the strip appears to have the usual, fully compensatory pause, being contained in a space of two sinus cycles.