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It's the ECG's that george rejects that makes George's ECG's the best.
Bizarre Trigeminy
Report:Atrial fibrillation Advanced or complete AV block Ventricular (first triplet) and junctional escape beats VEBs in couplets Trigeminy Small voltage, frontal leads Vertical heart position Possible old anteroseptal infarction Comment:There is
Multiform Bigeminal VEBs: Digoxin Toxicity
Report: Atrial fibrillation VEBs, bigeminal, multiform Nonspecific ST/T changes Comment: Multiform bigeminy is quite characteristic of digoxin toxicity. The VEBs are relatively narrow and may be of fascicular origin. The last 6 beats are all ventricula
VT Triplet in AF with Rapid Ventricular Response
Report:Atrial fibrillation with rapid ventricular response 147/min Triplet of ventricular tachycardia Right axis deviation +120o Possible old anteroseptal infarct Possible LVH with ST/T changes (RV6 > RV5) Comment:The three RR’ complexes are too late
Non-Sustained Multiform Ventricular Tachycardia
Report: Atrial fibrillation with rapid response Intraventricular conduction delay (IVCD), probably left bundle branch block Two runs of multiform ventricular tachycardia, approx. 250/min Sinus rhythm, SVEBs and runs of atrial tachycardia (bottom strip)
Atrial or Ventricular Fibrillation?
Report: Top: Atrial fibrillation with third degree AV block, or ventricular fibrillation Ventricular standstill Middle: Atrial fibrillation Third degree AV block Junctional rhythm 68/min Bottom: Sinus rhythm 98/min Third degree AV block Junction
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
Masquerading Bundle Branch Block: Positive Concordant Precordial Pattern
Report:Atrial fibrillation with rapid ventricular response Left anterior hemiblock Right bundle branch block Masquerading (standard + precordial) bundle branch block Anterior infarction, probably old Comment:This is a case of RBBB with high-grade LAH
WPW ‘A’ in AF: Positive Concordant Precordial Pattern
Report:Atrial fibrillation with (very) rapid ventricular response. Anomalous conduction (WPW type ‘A’) Wolff-Parkinson-White Syndrome Comment:The rate approaches 300/min but is obviously irregular. The trace is pathognomonic of WPW. The positive concor
Flecainide: From AF to Ventricular Tachycardia
Report: Atrial fibrillation with rapid ventricular response Ventricular tachycardia 214/min Respiratory artefact Comment: This is one of the best examples of proarrhythmia I have ever seen. There is something ironic in the meticulous recording of the
Dangerous WPW Syndrome
Report: Atrial fibrillation Rapid response 240-300/min Anomalous (WPW) conduction, type ‘B’ Comment: If the observed cycle lengths during atrial fibrillation are less than 0.25” (250 milliseconds sounds more ‘learned’ in this context), the patient is