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It's the ECG's that george rejects that makes George's ECG's the best.
Concealed Conduction: Atrial Flutter
Report:Sinus rhythm Left atrial abnormality (LAA) Second degree 2:1 AV block Atrial flutter 300/min Third degree AV block Idioventricular escape rhythm 41/min Inferoposterolateral MI, age uncertain, probably old Comment:The (concealed) conduction o
Sino-Atrial Wenckebach
Report:Sinus rhythm Sino-atrial exit block, Möbitz 1 Left atrial abnormality (LAA) AV block, Möbitz 1, incomplete sequences Prolonged QT interval Comment:This is an example of one form of block preventing the full expression of another: the AV nodal
Scary Pauses in Congenital AV Block
Report:Sinus arrhythmia Third degree AV block Junctional escape rhythm Comment:Most patients with (idiopathic) congenital heart block have a reasonably fast junctional pacemaker and can get by without pacing. Presence of prolonged pauses may be an indi
Complete AV Block
Report:Third degree AV block Sinus bradycardia 42/min Junctional beats (top strip) Atrial fibrillation Junctional escape rhythm 36/min Pacemaker rhythm 82/min Short QT interval ? digoxin toxicity Comment:The varied atrial activity has no effect on
Ventriculophasic Sinus Arrhythmia
Report:Sinus rhythm. Second degree AV block, Möbitz 1 Ventriculophasic sinus arrhythmia. Phasic aberrant conduction Comment:The “short” complexes are aberrantly conducted sinus beats. The promotion from 2:1 to 3:2 block has produced a long-short cycle
Carotid Sinus Massage: 2o AV Block
Report: Sinus rhythm ?Accelerated conduction (PR interval 0.11”) Second degree AV block Comment: The massage was performed in the hope of unmasking WPW conduction, of which there is a soupçon in the initial slurring of the QRS. Instead of broadening th
Failed Pacemaker?
Report: Sinus tachycardia 104 - 124/min First degree AV block[!xe "PR interval:long" \t "See AV block, first degree"!] Second degree AV block, probably Möbitz 2 Third degree AV block Ventricular standstill Junctional escape rhythm, ventricular escape
Unusual Wenckebach Sequences
Report:Sinus arrhythmia Second degree AV block, Möbitz 1 Bradycardia-dependent LBBB (4th beat in the top strip) ? Respiratory artefact ? Bradycardia-dependent incomplete LBBB ? Junctional escape beats with non-phasic aberrant conduction Comment:Th
Verapamil Wenckebach
Report: Sinus rhythm Möbitz 1 (Wenckebach) second degree AV block Comment: This is a very low-grade block and the patient is monitored anyway. Nothing needs be done immediately. In the long term, an antihypertensive without AV blocking properties should
Aberrant Reentry Beats of Junctional Origin
Report: Sinus bradycardia 36/min (middle & end of bottom strip) Sinus arrest, possibly exit block Junctional escape rhythm Reentry (echo) beats of junctional origin Retrograde first degree VA block 0.26” Antegrade first degree AV block 0.26” Left bu