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It's the ECG's that george rejects that makes George's ECG's the best.
Möbitz 2 Block
Report: Sinus rhythm First degree AV block PR 0.22” Second degree AV block, Möbitz 2 Left posterior hemiblock Right bundle branch block Comment: The fixity of the PR interval rules out Möbitz 1 (Wenckebach) mechanism for the AV block. Almost invaria
Digoxin-Induced Wenckebach
Report: Sinus arrhythmia Second degree AV block, Möbitz 1 Comment:The respiratory effect on the QRS size is seen throughout. It may be tempting to assume the first and largest QRS in each sequence is a junctional escape beat, with non-phasic aberrancy
The Bix Rule
Report: Sinus tachycardia 104/min Second degree 2:1 AV block Comment: The rule states that if a P wave (or a P’ wave) is half-way between the QRS complexes, it probably has a companion P wave hidden within the QRS complex47. This is demonstrated below (
Vagotonia: Advanced Second Degree AV Block
Report: Sinus rhythm Advanced second degree AV block[!xe "Second degree AV block" \t "See AV block, second degree"!] Period of asystole Ventriculophasic sinus arrhythmia Comment: Vagally-mediated bradyarrhythmias may, at times, be fatal. Vast majori
Echo (Reentry) Beats of Junctional Origin
Report: Top strip: Sinus bradycardia, progressive First degree AV block PR 0.24” Junctional escape beats Retrograde first degree AV block (RP 0.28”) Reentry (echo) beats of junctional origin Antegrade PR interval now 0.20” Incomplete RBBB Bottom
Skipped P Waves in Wenckebach Conduction
Report: Sinus tachycardia 120-128/min First degree AV block Second degree AV block, Möbitz 1 Periods of 3:2 conduction, with bigeminy Right bundle branch block Pacemaker rhythm 72/min Fusion and pseudofusion beats Comment: The key to correct interp
AV Block in Inferior Infarction
Report: Top: Sinus rhythm VEB Third degree AV block Junctional escape rhythm 42/min Second strip: Sinus tachycardia 104/min Second degree AV block, 2:1 conduction First degree AV block in conducted beats (PR 0.44”) Third strip: Sinus tachycardi
4:2 AV Block?
Report:Supraventricular tachycardia, probably sinus, 132-150/min First degree AV block (PR 0.22”) Second degree AV block, Möbitz I Concealed AV conduction - Wenckebach with two blocked P waves 4:2 overall conduction ratio or, 2:1 AV block (unspecifi
Agonal Rhythm
Report:Sinus bradycardia ?Shifting pacemaker SVEBs RBBB 3rd degree AV block. Ventricular standstill Comment:Normally, the right atrium is the last part of human heart to stop beating. This is not possible to diagnose from surface electrocardiogram
Congenital Complete Heart Block: Ventriculophasic Sinus Arrhythmia
Report:Sinus rhythm 67 – 70/min Third degree AV block Junctional escape rhythm 42/min Ventriculophasic sinus arrhythmia Right atrial abnormality (RAA) Comment:The ventricular rate is regular and slow, the faster P waves completely dissociated: comple