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It's the ECG's that george rejects that makes George's ECG's the best.
Masquerading Bundle Branch Block
Report:Atrial fibrillation with ventricular response 80-120/min 1 Fixed-rate ventricular pacemaker rhythm 50/min 2 Fusion beat (third paced complex) 1 R-on-T pacing 1 Right bundle branch block 1 Left anterior hemiblock 1 Standard masquerading bundl
Onset of Atrial Fibrillation: Mode Switch
Report:Sinus rhythm 76/min 1 Atrial-sensing ventricular pacemaker 3 SVEB, onset of atrial fibrillation 4 Atrial fibrillation with ventricular response 118-124/min 1 Pacemaker inhibition 0 Incomplete left bundle branch block 1 Comment:At first, the p
Atrial-Sensing Pacemaker Fails to Pace
Report:V1 and V3 reversed 1 Sinus rhythm 94-100/min 0.5 Ventriculophasic sinus arrhythmia 2 Atrial-sensing ventricular pacemaker 2 Complete failure to pace 1 2:1 and 3:2 AV block, Möbitz 2 2 Right bundle branch block 1 Borderline ST segment depres
Pacemaker Tachycardia with Spike Alternans
Report:AV sequential pacemaker tachycardia 120/min 8 Pacemaker spike alternans 2 Comment:The patient refused to stay in Casualty and went home. He returned several days later, when his pacemaker was “interrogated”. No malfunction was found in this DDDR
Allorhythmic Failure to Pace & Sense
Report: Sinus rhythm 59/min 1 First degree AV block 1 Non-specific ST/T changes 1 Demand pacemaker 75/min 2 Trigeminy 1 Intermittent failure to pace 1 Possible intermittent failure to sense 1 Comment: Of every three pacemaker spikes, only one - the
Pacemaker Blues
Report: [Code Blue] Pacemaker rhythm 72/min 1 QRS 0.36” 2 Pacemaker rhythm 72/min 1 QRS 0.20” 2 AV dissociation 2 Accelerated idioventricular rhythm 78-84/min 2 Comment: The QRS complex width - in paced beats, bundle branch blocks, or VEBs - gener
Voluntary Asystole
Report: Pacemaker rhythm 70/min 2 Somatic tremor 4 Pacemaker inhibition by myopotentials 4 Comment: Unipolar pacemakers are more likely to be inhibited by myopotentials than bipolar ones. Muscle inhibition is rarely seen in modern pacemakers (this on
Pacemaker-Ventricular Wenckebach
Report: Sinus rhythm 1 Third degree AV block 3 Pacemaker rhythm 2 Möbitz 1 (Wenckebach) pacemaker-ventricular block 4 Comment: There is an allorhythmic succession of 2:1 and 3:2 sequences. The latter show well-marked prolongation of spike-to-QRS inter
Rate Hysteresis
Report:Sinus rhythm 1 VEBs, multiform 2 Demand ventricular pacemaker 3 Rate hysteresis 3 Fusion beat (top panel) 1 Comment:The VVI pacemaker takes over after the VEBs; the long cycle it terminates corresponds to a rate 50/min, while the subsequent t
Overdrive of Atrial Tachycardia With Block
Report: Top: Atrial tachycardia 200/min 1 2:1 AV block 1 Pacemaker artefact 122/min 2 No capture 1 Second: Atrial pacing 250/min 3 Capture 0 Variable AV block 0.5 Third: Atrial pacing 80/min 0.5 1:1 conduction 0 Bottom: Sinus rhythm 68/min 1