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It's the ECG's that george rejects that makes George's ECG's the best.
Junctional Bigeminy & Curious ST Elevation?
Report: Sinus arrest Junctional escape rhythm Bigeminy ? reentry ? different junctional foci ? junctional exit block Post-extrasystolic ST segment elevation Comment: The above diagnoses, reasonable as they may sound, were all wrong. The only person a
Rigor Mortis!
Report: Asystole. Comment: This is one of several dead patients’ ECGs I encountered during my three years in the United States. Presumably it’s their passion for ‘documentation’ that leads (some) Americans to take ECGs on (some) cadavers, maybe those wit
Advanced AV Block Following VEBs
Report: Sinus rhythm VEBs Triplet of ventricular tachycardia Advanced second degree AV block Comment: The episodes of ventricular standstill all follow the VEBs. The VEBs appear to have retrograde conduction, which may account for sinus rates being
Idioventricular Rhythm in Complete AV Block
Report: Sinus arrhythmia & bradycardia Junctional rhythm 48/min, also blocked Third degree AV block Idioventricular escape rhythm 10 – 30/min Comment: The (blocked) sinus rhythm is slow and irregular. Eventually it is replaced by somewhat more constan
Parallel Slopes
Report: Sinus tachycardia 104/min Intermittent second degree 2:1 AV block, possibly Möbitz 2 Intraventricular conduction defect, unspecified (? lead 2 strip) Comment: The tachycardia makes it very difficult to observe any increments in the PR intervals
Valsalva Manœuvre
Report: Top: Sinus rhythm & arrhythmia Blocked SVEB (first pause) Second degree AV block (second pause) Junctional escape beat Bottom: Sinus rhythm & arrhythmia First degree AV block Sinus arrest Comment: The vagal reflex triggered by the inspi
Atrial Fusion Beats
Report:Sinus rhythm Junctional ? atrial rhythm Shifting (atrial) pacemaker Atrial fusion beats AV dissociation Probable third degree AV block Pacemaker rhythm 63/min Comment:Again, this is a "trick" question, designed to make one look (in vain) for
Interpolated VEBs in Advanced AV Block
Report: Sinus tachycardia 108/min Second degree, advanced (4:1, 3:1) AV block VEBs, multiform, interpolated Left bundle branch block Comment: The ætiology of the block remained unknown; it could have been due to polyarteritis nodosa through its associ
Trigeminal Bradycardia
Report: Sinus tachycardia Advanced second degree AV block 9 second pause Junctional escape beats Comment: Some sinus beats are probably conducted, e.g., first two in the top strip. The long pause is terminated by a junctional escape (first beat in the
Spurious ST Segment Elevation
Report: Sinus bradycardia 43/min Left atrial abnormality First degree AV block Escape-capture bigeminy Third degree AV block (mid-second strip onward) Junctional rhythm 64/min Comment: The broad shallow sinus P waves, with their first degree AV bl