Search the collection
It's the ECG's that george rejects that makes George's ECG's the best.
Wenckebach Conduction of Sinus Tachycardia
Report: Sinus tachycardia 116/min SVEB Second degree AV block, Möbitz 1 Comment: Some of the blocked P waves look different in shape from others, due to their position on the preceding T wave. Their timing easily distinguishes them from blocked SVEBs.
Bilateral Bundle Branch Block (BBBB)
Report:Sinus rhythm 94/min Advanced (4:1) AV block Left bundle branch block Comment:While it is possible that there exist independent AV nodal block and isolated LBB disease, the block as recorded is more likely an expression of BBBB, viz. permanent
Complete Heart Block: Anterior MI
Report: Sinus tachycardia Third degree AV block Ventricular escape beats and rhythm Comment: The slowing of the sinus rate in the forth and fifth strips was ominous, reflecting sinus node hypoxia or ischæmia. The ventricular escapes were slow and unre
Advanced 2o AV Block
Report: Sinus rhythm Progressive first degree AV block (top) VEBs Advanced second degree AV block Comment: The 14 second pause follows the VEB, but the ground had been set even before the first VEB: a single blocked P wave is seen at the end of the to
First Degree AV Block on Carbamazepine
Report:Sinus rhythm 66/min First degree AV block PR interval 0.48” Normal QRS-T morphology Comment : The patient had hydrocephalus from Dandy Walker abnormality requiring ventriculo-peritoneal shunting and severe epilepsy requiring several drugs, in
Jarisch-Bezold Reflex
Report: Atrial fibrillation with slow response Junctional escape beat(s) Comment: There is no observable atrial activity, but the patient had atrial fibrillation since admission. The strips could pass, electrocardiographically, for sinus arrest or atria
Bigeminy and Trigeminy: Atrial Flutter
Report:Atrial flutter 250/min Alternating 4:1 & 2:1 (2:1 + 3:2) conduction, with bigeminy (top) 2:1 + 4:3 conduction, with trigeminy (bottom) Comment:Typical flutter has a basic 2:1 block and a more distal, Wenckebach block; this combination accounts f
Post-Ectopic Sino-Atrial Depression
Report:Sinus rhythm 74/min SVEBs, one RBBB-aberrant Marked post-ectopic SA depression (overdrive suppression) Left bundle branch block Comment:The 7th beat’s P’ distorts the T wave of the preceding sinus beat. The pause containing the SVEB is more tha
Illusion of Sinus Tachycardia
Report:(Lead 2 sequential rhythm strips) Sinus rhythm approximately 96/min Frequent VEBs, some in triplets or short runs of VT Concealed retrograde conduction Comment:This is a good example of the reciprocal R-P – P-R relationship. Much of the lower s
Atrial Conduction Defect
Report:Sinus rhythm 62/min First degree AV block PR interval 0.24” Marked left atrial abnormality (LAA) Nonspecific ST/T changes Comment:The striking abnormality is her P wave as seen in lead 1. It is widely notched and 0.20” long. It acounts for the