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It's the ECG's that george rejects that makes George's ECG's the best.
Bigeminy or Quadrigeminy?
Report: Sinus rhythm approx. 54/min First degree AV block, variable VEBs, bigeminal Concealed retrograde conduction Pacemaker escape beats Comment: This is an allorhythmia, a repetitive sequence of (in this case) four beats. The VEBs themselves are,
VEB couplets: Two for the Price of One
Report: Sinus rhythm 78/min VEBs, frequent, some in couplets (pairs) Poor R wave progression Nonspecific ST/T changes Comment: The VEBs have typical qRR’ morphology, with left rabbit ear taller than the right; the pauses are fully compensatory. The la
No Response to DC Cardioversion
Report: Probable atrial flutter or fibrillation Non-sustained monomorphic ventricular tachycardia 160/min Inferior infarction ?age Comment: The patient was one of those surgical disasters that attract multiple medical consultations in the hope of expla
Multiform Ventricular Tachycardia
Report: Atrial fibrillation Runs of multiform ventricular tachycardia 150 – 180/min Right axis deviation +165o Probable right bundle branch block Acute inferior infarction Comment: There are only four pure supraventricular beats to be seen – two befo
Positively Concordant Trigeminy
Report: Sinus tachycardia 130/min VEBs in trigeminy Left atrial abnormality Minor T wave changes Comment: The VEBs are monophasic R complexes from V1 through V6. This is diagnostic of ventricular ectopic origin. A regular run of such beats, however, w
LBBB-Like VT in Patient with RBBB
Report:Ventricular tachycardia 178/min LBBB morphology with right axis deviation Comment:This is, morphologically, right ventricular outflow tract (RVOT) tachycardia, with LBBB and marked right axis deviation (not seen in aberrant conduction8). The morp
Onset of Retrograde Conduction
Report:Top: Sinus tachycardia 104/min VEB Monomorphic ventricular tachycardia 152/min Retrograde conduction Bottom: Sinus tachycardia 110/min Fusion VEBs in bigeminy Monomorphic ventricular tachycardia 150/min Retrograde conduction Comment:In bo
March of Rosenbaum’s Extrasystoles
Report:Sinus rhythm VEBs Runs of non-sustained monomorphic ventricular tachycardia 138/min Borderline left atrial abnormality Nonspecific ST/T changes Comment:By definition, non-sustained VT lasts less than ½ minute. It is a different species from su
QrV1 Fascicular Tachycardia
Report:Ventricular tachycardia 180/min Comment:The QRS is only 0.10” long, qualifying this as a fascicular VT. Its ventricular source is easily detected in V1, where the broad Q wave slopes obligingly over the requisite 0.06” to its nadir. The gracile R
VT: Dressler Beat
Report:Ventricular tachycardia 188/min Termination by ventricular fusion beat (Dressler beat) Sinus tachycardia 120/min Probable inferior infarction Comment:The rhythm strip is not taken simultaneously with the three channels above. This has the advan