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It's the ECG's that george rejects that makes George's ECG's the best.
Wenckebach AV Block in Marked Sinus Tachycardia
Report: Sinus tachycardia 138/min Second degree AV block, Möbitz 1 Probable acute inferior infarction Comment: It is unwise, generally, to diagnose infarction from rhythm strips, but this one has all three indicative changes of acute infarction: Q wave
Runaway Pacemaker
Report: Pacemaker tachycardia 180/min 5 Runaway pacemaker 5 Comment: Most modern pacemakers would have a ventricular rate-limiting mechanism to prevent this degree of tachycardia. The trace itself does not offer any clues as to the cause: all one can se
Adenosine Asystole
Report:Atrial flutter 300/min High-grade (advanced) second degree AV block Transient asystole Ventricular escape beat Comment:The patient was admitted to CCU in flutter 310/min with 2:1 block (Fig 12a below). In all fairness, distinction from SVT cann
Sinus Rhythm Faster Than Itself
Report: Nonparoxysmal junctional tachycardia (NPJT) 98-100/min Sinus rhythm 94-96/min Left atrial abnormality Sinus capture beats AV dissociation with interference Left ventricular hypertrophy with ST/T changes (incomplete LBBB) Comment: Paradoxical
VEBs: Concealed Retrograde Conduction
Report: Sinus rhythm Left atrial abnormality VEBs, uniform; couplets[!xe "VEBs:concealed conduction:couplets" \b \i!][!xe "VEBs:couplets" \b \i!] Concealed retrograde conduction Comment: Despite a slight sinus arrhythmia it is possible to map out un
SVEBs in Bigeminy or 2:1 AV Block?
Report: Sinus rhythm 72/min Second degree AV block, 2:1 Ventriculophasic sinus arrhythmia Left bundle branch block Comment: The ventriculophasic effect is so marked that one cannot be completely certain that the atrial complexes at the end of T wave
Möbitz 2 AV Block
Report: Sinus rhythm Advanced second degree AV block, Möbitz 2 Ventricular pacemaker Intermittent failure to xsense Intraventricular conduction defect, unspecified Comment: The pacemaker was stopped after the first beat in the upper strip, turned on
BBBB[!xe "Bilateral bundle branch block (BBBB):LBBB + RBBB" \b \i!]
Report: Sinus rhythm Interpolated junctional (main-stem) extrasystoles[!xe "VEBs:main-stem (bundle of His) extrasystoles" \b \i!] Right bundle branch block[!xe "Right bundle branch block:LBBB" \b \i!] Left bundle branch block[!xe "Left bundle branch bl
Respiratory & Ventriculophasic Sinus Arrhythmia
Report: Sinus rhythm Respiratory sinus arrhythmia Ventriculophasic sinus arrhythmia Second degree AV block, Möbitz 1 Period of 2:1 conduction + one 5:4 cycle LVH with ST/T changes ± digoxin effect Comment: The ventriculophasic effect – P-P intervals
Notched P Wave
Report: Sinus rhythm Left atrial abnormality (LAA) Widely notched P wave Sino-atrial exit block Probable atrial infarction Comment: The wide P wave (0.18”) is produced by an atrial conduction defect, usually involving the interatrial tract (Bachman