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It's the ECG's that george rejects that makes George's ECG's the best.
Ventricular Tachycardia: Pre-Existent LBBB with Right Axis Deviation
Report: Ventricular tachycardia 167/min Comment: The diagnosis is based on RV1 morphology and the Northwest axis. In addition, the patient was known to have a pre-existing LBBB with RAD (a marker of congestive cardiomyopathy) shown below (Fig 89a). Lead
Monomorphic Ventricular Tachycardia: Minuscule V1 Rabbit Ears
Report:Monomorphic ventricular tachycardia 188/min Comment:The monophasic R complex in V1 has two small “rabbit ears”; the left one is mostly taller than the right (looking at the rabbit from behind). This is a classic marker of ventricular ectopic origi
LBBB-Like VT in Patient with RBBB
Report: Ventricular tachycardia 178/min LBBB morphology with left axis deviation Comment: Lead V1 has a broad primary R wave (0.04”), distinguishing the ectopic morphology from LBBB conduction. Also, the patient’s basic conduction is RBBB (shown in Case
R-on-T Run of Non-sustained VT
Report: Sinus tachycardia 144/min Ventricular tachycardia 280-305/min, 6-beat run (Accelerated) junctional escape beats Comment: There are 8 ectopic beats. At some stage during the short run, retrograde conduction found its way into the atria and reset
Echo Beats
Report: Sinus rhythm (7 beats) Ventricular tachycardia (4-beat run) VEBs, couplet (two beats) Reentry (echo) beats of ventricular origin (two beats) Comment: There are more QRS complexes of ventricular than supraventricular origin here - 8 vs. 7. Both
Fascicular VT in Anterior Infarction
Report:Ventricular (fascicular) tachycardia 103/min RBBB/LAHB morphology Acute anterior infarction Comment:It is possible that the tachycardia is junctional, with aberrancy, except that lead 1 does not look right for RBBB, with or without LAHB; also, i
Frequent, Multiform, R-on-T VEBs in Acute MI
Report:Atrial fibrillation Possible run of accelerated junctional rhythm 75/min (first four beats) VEBs, dimorphic couplet, R-on-T phenomenon Acute anterolateral infarction Probable old inferior infarction Comment:There is obvious ST segment elevati
Inferior MI Reperfusion – Fascicular VT
Report:Ventricular tachycardia 156/min/min Probable inferior infarction Comment:The rhythm was sufficiently irregular for the computer to classify it as AF with borderline IVCD. It becomes more regular, however, just after the middle of the trace and en
Sotalol Arrhythmias
Report: Sinus rhythm Borderline first degree AV block PR 0.20” VEBs, frequent Runs (3-beat, 5-beat) of multiform ventricular tachycardia Incomplete LBBB Prolonged QT interval Comment: The patient’s torsades (Fig 130a) were treated by MgSO4, then xy
Sudden Death During Holter Monitoring
Report: Supraventricular and ventricular bigeminy Prolonged QT interval (0.64”) Multiform, probably torsade de pointes, ventricular tachycardia Comment: This patient was on digoxin and quinidine. The final (and fatal) paroxysm is initiated by a late VE