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It's the ECG's that george rejects that makes George's ECG's the best.
Double Coupling of VEB Couplets
Report: Sinus arrhythmia 85 – 109/min Frequent VEBs Accelerated idioventricular rhythm (AIVR) approx. 65/min Comment: The VEBs come in two morphologies, the tall and the stubby, in the L2 rhythm strip. The tall ones are premature, with a fixed coupling
Slow Ventricular Tachycardia
Report: Ventricular tachycardia 116/min Retrograde conduction Probable acute anterior infarction Comment: The basic LBBB-like morphology with RAD alone designates the tachycardia as ectopic ventricular27; its slurred S downslope in V1-2 is also diagnos
VEBs: Retrograde Conduction
Report: Sinus rhythm VEBs, trigeminal, uniform Retrograde VA conduction Left atrial abnormality (LAA) Borderline right atrial abnormality (RAA) Probable old posterior infarction Nonspecific ST/T changes Comment: The compensatory pauses are longer t
VT Triplet in AF with Rapid Ventricular Response
Report:Atrial fibrillation with rapid ventricular response 147/min Triplet of ventricular tachycardia Right axis deviation +120o Possible old anteroseptal infarct Possible LVH with ST/T changes (RV6 > RV5) Comment:The three RR’ complexes are too late
Semiventricular Tachycardia
Report: Sinus tachycardia 100/min VEBs in bigeminy Possible ventricular fusion Left axis deviation (LAD) – 40o LVH with ST/T changes Inferior infarction, probably old Comment: Semiventricular is one of my own neologisms. Foreigners often take greate
Alternate Cycle Antecedent P Waves
Report:Ventricular tachycardia 125/min Probable 2:1 retrograde conduction Comment:The diagnosis of VT is supported by the QRS duration of 0.18”, the indeterminate abnormal axis and the left rabbit ear in V1 being taller than the right. The relatively
Small Ectopics
Report:Sinus rhythm. VEBs. Junctional escape beats. AV dissociation. Retrograde conduction (of VEBs). Comment:The small complexes are probably VEBs, although aberrant junctional beats cannot be excluded. A 12-lead ECG would help. Note the mirror-imag
Double Defibrillation
Report:Atrial fibrillation. VEBs Multiform ventricular tachycardia Spontaneous termination (top) Transition to ventricular fibrillation (middle) Accelerated idioventricular rhythm (bottom) 70 - 76/min Retrograde conduction (first four and last two b
Escape-Capture Quadrigeminy
Report: Sinus rhythm First degree AV block (PR 0.28”) Incomplete right bundle branch block (Slightly) accelerated ventricular (fascicular) rhythm 69 - 72/min Sinus capture beats Comment: The PR interval would probably be shorter without the interfe
Parasystole
Report: Sinus rhythm Ventricular parasystole Comment: The parasystole behaves like a fixed-rate pacemaker, except there are no spike artefacts to mark its beats between ventricular captures. Fusion beats are common in parasystole, but the essential aspe