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It's the ECG's that george rejects that makes George's ECG's the best.
Complete Heart Block in Atrial Fibrillation
Report:Atrial fibrillation Third degree AV block Junctional escape rhythm 44/min LVH with ST/T changes ? incomplete LBBB Comment:At times there is a suggestion of flutter-like organised atrial activity, but the baseline is too variable for flutter. Th
Complete Heart Block in Atrial Flutter
Report:Atrial flutter 240/min Third degree AV block Junctional escape rhythm 36/min LVH with ST/T changes ? incomplete LBBB Comment:One would think the patient would have been paced by now. Perhaps there were sound clinical reasons for delaying the de
Advanced Second Degree AV Block
Report:Sinus tachycardia 100/min Second degree AV block, advanced ST/T changes consistent with MI/ischæmia Comment:The conducted P waves are all associated with slightly variable first degree block and the QRS complex is narrow: the site of the block i
Atropine Bradycardia
Report: Top: Sinus rhythm 83 - 85/min Second degree AV block Escape-capture bigeminy Ventricular rate 55/min Bottom: Sinus tachycardia 100/min 2:1 AV block Ventricular rate 50/min Comment: In the top strip, a basic 2:1 AV block is modified by th
First Degree AV Block
Report:Sinus rhythm 72/min First degree AV block (PR 0.42”) VEBs SVEBs, blocked Left axis deviation –60o Old inferior and anterior infarction Junctional escape beats (last and first) QRS complex Comment:There is some variation in the long PR interv
Classical Wenckebach
Report:Sinus rhythm 82 – 86/min Second degree AV block, Möbitz 1 Left atrial abnormality (LAA) Recent inferior infarction Comment:Most clinically observed Wenckebach periods are in some way atypical; the long ones are so as a rule. The commonest atypi
Let the Sleeping Dog Lie?
Report:Sinus arrhythmia 45 - 68/min Second degree AV block Two blocked P waves Comment:It is disconcerting to see a spontaneous 3.7" pause, but (i) the patient had a recent inferior MI and (ii) remained asymptomatic during similar episodes while awake.
First Degree AV Block
Report:Sinus rhythm 60/min First degree AV block PR interval 0.62” Indeterminate axis Absolute small voltage Minor T wave changes Comment:The PR interval is considerably longer than the R-P interval, confusing the computer into diagnosing junctional
Möbitz 2 AV Block & Right Bundle Branch Block
Report:Sinus rhythm 90/min Second degree AV block, Möbitz 2 Right bundle branch block Borderline left atrial abnormality (LAA) Comment:All the PR intervals, before and after the block, are 0.16”. This is type 2 block, intraventricular: the LBB is bloc
Unfinished Wenckebach
Report:Sinus rhythm 76/min Wenckebach phenomenon Atrial trigeminy, possible reentry beats of sinus origin, blocked Frequent VEBs, uniform Positive concordant precordial pattern Left atrial abnormality (LAA) Left anterior hemiblock (frontal axis –60o