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It's the ECG's that george rejects that makes George's ECG's the best.
LBBB with Northwest Axis
Report:Atrial fibrillation with ventricular response 98/min Left bundle branch block Axis approx. +240o Comment:The S wave in lead 1 makes the axis extreme right or left (no man’s land); this seems to have the same significance as right axis deviation
1o AV Block Expressing BBBB
Report: Sinus rhythm 77 – 82/min Left atrial abnormality (LAA) First degree AV block PR 0.22” Intermittent right bundle branch block + left anterior hemiblock PR 0.16” Nonspecific T wave changes Comment: At first, one would postulate a dissociated
Left Axis Deviation: LAHB
Report:Atrial & sinus rhythm 76/min Left atrial abnormality (LAA) Left anterior hemiblock Axis –40o Early transition Left ventricular hypertrophy with ST/T changes Comment:There is a typical qR and rS pattern in leads 1 and 3, respectively. Also the
Conducted LPHB and Escaping LAHB
Report:Sinus rhythm 82/min Left atrial abnormality (LAA) 2:1 AV block Right bundle branch block Left posterior hemiblock Junctional escape (first two) beats RBBB + LAHB morphology Nonspecific ST/T changes Comment:Most commonly, the escape rhythm h
Acute Infarction with Pre-existing LBBB
Report:Sinus rhythm 60/min Left atrial abnormality (LAA) Left bundle branch block Acute inferior & anterior infarction Comment:The diagnosis was based on new and marked ST segment elevation in the inferior leads and V3 as well as concordant T inversio
No Pacing and 2:1 Failure to Sense
Report:Sinus rhythm 55/min 1 Demand pacemaker: failure to pace 2 2:1 failure to sense 5 LVH voltage (SV2 25mm) 0.5 Left atrial abnormality (LAA) 0.5 Old inferior infarct 0.5 Possible old anterior infarct (loss of R height from V2 to V3) 0.5 Commen
Complete AV Dissociation
Report: Pacemaker rhythm 80/min 3 Sinus rhythm, non-conducted, 85/min 3 Complete AV dissociation 3 Left atrial abnormality (LAA) 1 Comment: The paced complexes have the typical LBBB/LAD appearance, indicating pacing from the apex of the right ventricl
Atrial-Triggered Failed Pacemaker
Report:Sinus rhythm 94 - 96/min 1 First degree AV block (PR 0.28") 2 Left atrial abnormality (LAA) 1 Atrial-triggered ventricular pacemaker 2 Failure to pace 3 LVH with ST/T changes (incomplete LBBB) ± ischæmia 1 Comment:The pacing spikes bear const
Atrial Sensing and Pacing
Report:Sinus rhythm 75/min 1 VEB 1 Atrial-sensing ventricular pacemaker 3 Atrial sensing and pacing ventricular pacemaker (last beat) 4 Left atrial abnormality (LAA) 1 Comment:This is a DDD pacemaker, responding to both the atrial activity and the la