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It's the ECG's that george rejects that makes George's ECG's the best.
The Race Is Not to the Swift…
Report: Sinus rhythm & arrhythmia 58 - 74/min. Left anterior hemiblock (LAHB). Right bundle branch block (RBBB). Second degree AV block, 2:1, rate-dependent. Comment:The patient has, in addition to obvious conduction problems, an abnormally marked sin
Concealed and Manifest Retrograde Conduction
Report:Sinus rhythm VEBs, one interpolated Reentry (echo) beat of ventricular origin Borderline left atrial abnormality (LAA) Comment:The ectopic beats are just about 0.14” long, with QR morphology in V1 and monophasic R in standard lead 1. Both, at f
Pacemaker-Sinus Escape-Capture Bigeminy
Report: Sinus rhythm Second degree AV block, unspecified Intraventricular conduction delay (QRS 0.12") Pacemaker escape beats Escape-capture bigeminy Comment: The conducted sinus beats have normal PR intervals, but the P waves following them have the
Atrial Fibrillation with Complete AV Block
Report:Atrial fibrillation Third degree AV block VEB Junctional escape rhythm 42/min Possible old inferior MI Diffuse ST/T changes Comment:The ventricular rate is completely regular and slow, disturbed only by a single VEB. The VEB looks like LBBB,
Sinus Tachycardia with Unusual Bigeminy
Report: Sinus tachycardia 112/min First degree AV block Second degree AV block[!xe "AV block:second degree:2-1 advanced" \b!] 2:1 in top & bottom strips Advanced in middle strip Junctional escape beats Escape-capture bigeminy [!xe "Escape-capture b
Dig the Break!
Report: Sinus rhythm 96/min Second degree AV block, 2:1[!xe "AV block:concealed:dig the break" \b!] SVEB[!xe "SVEBs:unmasking 2o AV block" \b!] Left bundle branch block Comment: The blocked alternate P waves are almost completely hidden by the descend
Sinus-Junctional Escape-Capture Bigeminy
Report:Sinus rhythm 84/min Borderline left atrial abnormality (LAA) Second degree AV block, unspecified Junctional escape beats Escape-capture bigeminy LVH with ST/T changes Comment:Only every third sinus P wave is conducted, with a PR interval just
Ventricular Standstill in Sinus Tachycardia
Report:Sinus tachycardia 113/min Second degree, mostly 2:1 AV block Complete AV block – ventricular standstill Intraventricular conduction delay (known LBBB) Comment:This is almost certainly Möbitz 2 AV block in view of the associated bundle branch bl
Slow Junctional Escape in Complete AV Block
Report:Sinus rhythm 90/min Third degree AV block Junctional escape rhythm 19/min Anterior infarction ? incomplete LBBB QT/T wave changes consistent with ischæmia or preceding syncope. Comment:As in the previous case, the escape pacemaker, although a
Wrong Footprints
Report:Sinus rhythm Non-conducted SVEBs Trigeminy Left bundle branch block Comment:Surprising number of staff reported these strips as Wenckebach (Möbitz 1) second degree AV block. The reason may be the memory of Marriott's injunction to "recognise