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It's the ECG's that george rejects that makes George's ECG's the best.
Monomorphic Ventricular Tachycardia: RV1 & QSV4-6
Report: Ventricular tachycardia 214/min Comment: The monophasic R in V1 and QS in the left ventricular leads is practically diagnostic of VT. Absence of R waves in V4-6 also precludes an antidromic pre-excited tachycardia99. The patient ascribed the ar
R-on-T VEB: Ventricular Fibrillation
Report: Sinus rhythm 92/min (top) R-on-T VEB Ventricular fibrillation DC defibrillation (third strip) Post-countershock sinus bradycardia, VEB Sinus tachycardia 115/min (bottom) Comment: A reperfusion arrhythmia is not expected a day after. At any r
Bigeminal Ventricular Tachycardia
Report:Ventricular tachycardia 173/min Alternating cycle length Comment:The patient had presyncopal paroxysms of VT, though to be SVT by many because of its relatively narrow QRS. They were even more convinced when, in Casualty, he reverted to sinus rhy
Fast Ventricular Tachycardia with Visible AV Dissociation
Report: Ventricular tachycardia 214/min AV dissociation Comment: The morphology is somewhat equivocal, V1 showing RR’ complexes with right rabbit ear taller than the left; nevertheless, they are essentially monophasic and over 0.14”, favouring ectopic o
Accelerated Idioventricular Rhythm in Complete AV Block
Report: Sinus tachycardia 120/min Accelerated idioventricular rhythm 65/min Third degree AV block Comment: One can confidently diagnose complete AV block when the atrial rate is so much faster than the ventricular, without any captures, the ventricular
Parasystole
Report: Sinus rhythm Ventricular parasystole Ventricular fusion beats Comment: Identical VEBs with different coupling intervals but a constant interectopic interval (or an exact multiple thereof) constitute parasystole. The protected ventricular focus
Repetitive Multiform Ventricular Tachycardia
Report: Sinus tachycardia 108/min Repetitive multiform ventricular tachycardia 118-280/min Comment: There is no mistaking the bursts of VT for aberrancy. It may well be a ventricular form of the Parkinson-Papp syndrome – runs of tachycardia separated by
Bidirectional AIVR
Report: Alternating (bidirectional in some leads) accelerated idioventricular rhythm Comment: At first glance, the trace suggests RBBB and ventricular bigeminy. It is quite regular and no definite atrial activity can be discerned, except for the wrinkle
Fusion Terminating AIVR
Report: Sinus rhythm 74 – 80/min Accelerated idioventricular rhythm 69 – 74/min Ventricular fusion beat Comment: The AIVR accelerates, but to no avail: the faster sinus rhythm takes over by the middle of the recording. Between the two is a typical fusi
LBBB-like Ventricular Tachycardia
Report: Ventricular tachycardia 168/min Comment: Some would say that the precordial pattern is that of negative concordance. A purist would point out that there are small R waves in V2 or V6; the complexes are not all completely negative. This fortunatel