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It's the ECG's that george rejects that makes George's ECG's the best.
Long Wenckebach Pauses
Report: Sinus rhythm 56 – 66/min Second degree AV block, Möbitz 1 3:2 conduction with bigeminy Left ventricular hypertrophy voltage Comment: Wenckebach pauses are normally less than two sinus cycles in length. When, as here, they coincide with the slo
Sudden Ventricular Standstill
Report: Sinus tachycardia 100/min Borderline first degree AV block Left bundle branch block Third degree AV block Ventricular escape beats (bottom) Comment: This is a typical example of AV block in acute anterior infarction: RBBB or LBBB (as here) fo
Congenital Heart Block with Long QT Interval
Report: Sinus rhythm 100 - 110/min Third degree AV block Junctional escape rhythm 48/min VEB SVEB Prolonged QT interval 0.60” QTc 0.53” Comment: This case has been reported73. While it is not possible to exclude post-syncopal QT prolongation in th
Alternate-Beat Wenckebach Caused by VEBs
Report:Sinus rhythm 92/min VEBs, couplets and triplets R-on-T phenomenon Wenckebach second degree AV block for alternate P waves Acute or recent inferior infarction Comment:The first two consecutively conducted P waves show slight but definite PR int
Second Degree AV Block
Report: Sinus rhythm One cycle episode of second degree AV block Comment: The patient kept no diary, but it is safe to presume she was asleep at 4 am. What is one to make of her blocked P waves (there was another, below)? Probably nothing, given that no
Wenckebach AV Block in Sinus Tachycardia
Report: Sinus tachycardia 106/min Right atrial abnormality (RAA) Second degree AV block, Möbitz 1 Up to 0.48” PR Intervals Junctional escape beat (third last QRS) LVH with ST/T changes Comment: The 4:3 and 5:4 Wenckebach cycles seen from beginning
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
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
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