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It's the ECG's that george rejects that makes George's ECG's the best.
Double Defibrillation
Report:Atrial fibrillation. VEBs Multiform ventricular tachycardia Spontaneous termination (top) Transition to ventricular fibrillation (middle) Accelerated idioventricular rhythm (bottom) 70 - 76/min Retrograde conduction (first four and last two b
Accelerated Idioventricular Rhythm in Complete AV Block
Report: Sinus tachycardia 120/min Accelerated idioventricular rhythm 65/min Third degree AV block Comment: One can confidently diagnose complete AV block when the atrial rate is so much faster than the ventricular, without any captures, the ventricular
Bidirectional AIVR
Report: Alternating (bidirectional in some leads) accelerated idioventricular rhythm Comment: At first glance, the trace suggests RBBB and ventricular bigeminy. It is quite regular and no definite atrial activity can be discerned, except for the wrinkle
Fusion Terminating AIVR
Report: Sinus rhythm 74 – 80/min Accelerated idioventricular rhythm 69 – 74/min Ventricular fusion beat Comment: The AIVR accelerates, but to no avail: the faster sinus rhythm takes over by the middle of the recording. Between the two is a typical fusi
VT Slowing into AIVR
Report: Sinus rhythm Ventricular tachycardia 140/min Accelerated idioventricular rhythm 80-100/min Comment: Oddly enough, I have never seen AIVR speed up into a VT, but VT slowing into an AIVR is common enough. It is usually a relatively slow VT which
Bigeminal Ventricular Tachycardia
Report: Atrial fibrillation Incomplete left bundle branch block Probable acute lateral infarction Ventricular tachycardia 204/min[!xe "Ventricular tachycardia:bigeminal" \t "See alternating cycle length"!] Alternating cycle length Comment: The diagno
AIVR & Quadrigeminal VEBs
Report: Accelerated idioventricular rhythm 90/min (AIVR) Retrograde VA conduction Wenckebach phenomenon VEBs in quadrigeminy Fully compensatory pauses (in the AIVR) Comment: The first impression is that of dissociated sinus rhythm due to variable P-Q
AIVR & Retrograde Conduction
Report: Sinus arrhythmia VEB (second complex in the top strip) Atrial (?junctional) escape complex (9th in the top strip) Accelerated idioventricular rhythm 86-89/min Retrograde conduction Fusion beats Comment: Typically, the retrograde 1:1 conducti
Hyperacute Anterior Infarction
Report:Sinus rhythm 66/min Acute anterior infarction Comment:The term hyperacute refers to increase in T wave height at a very early stage of myocardial infarction. The waves need not be large. As Goldberger put it6, “the amplitude of hyperacute T waves
AIVR in Anterior Infarction
Report:Accelerated idioventricular rhythm 72/min Supraventricular capture beats Ventricular fusion beats (middle of the trace) Acute extensive anterior infarction Comment:AIVR is commoner in inferior than anterior infarcts, but reperfusion tends to ev