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It's the ECG's that george rejects that makes George's ECG's the best.
Pentageminy!
Report: Sinus rhythm Left atrial abnormality (LAA) VEB triplets (VT 220/min) in pentageminy Comment: An allorhythmia is a repetitive pattern of a combination of beats. Pentageminy is a fanciful and rarely – if ever – used, but descriptive, name. It cou
AV Dissociation in VT
Report: Sinus tachycardia 127/min Left atrial abnormality (LAA) First degree AV block (PR 0.22”) Axis -100o (Northwest, no-man’s land, “nonsense” axis) Probable left anterior hemiblock Right bundle branch block VEB, probably fusion beat (5th in V1)
VEBs: (Con)fusion Bigeminy
Report: Sinus rhythm VEBs, late-diastolic, in bigeminy Ventricular fusion beats Comment: There are, depending on the VEBs’ timing, different degrees of fusion. Note how the sinus contribution is proportional to the PR interval of the fusion beat: the
Sameness in the Same Lead
Report:Atrial fibrillation VEB (6th complex) Intraventricular conduction delay (unspecified) Comment:In all fairness, most of us would disregard the 6th beat if all there was to see was the rhythm strip and the strip was obtained during routine monitor
2:1 & Advanced 2o AV Block
Report: Sinus tachycardia 125/min Left atrial abnormality (LAA) Second degree AV block, 2:1 & advanced First degree AV block (PR 0.28”) in conducted beats VEB (ventricular escape beat) Left anterior hemiblock Right bundle branch block, atypical Lef
Sinus Rhythm Faster Than Itself
Report: Nonparoxysmal junctional tachycardia (NPJT) 98-100/min Sinus rhythm 94-96/min Left atrial abnormality Sinus capture beats AV dissociation with interference Left ventricular hypertrophy with ST/T changes (incomplete LBBB) Comment: Paradoxical
Bigeminy and Trigeminy: Atrial Flutter
Report:Atrial flutter 250/min Alternating 4:1 & 2:1 (2:1 + 3:2) conduction, with bigeminy (top) 2:1 + 4:3 conduction, with trigeminy (bottom) Comment:Typical flutter has a basic 2:1 block and a more distal, Wenckebach block; this combination accounts f
2:1 AV Block
Report:Sinus tachycardia 112/min 2:1 AV block Comment:The term "advanced" or "high-grade" AV block is used to describe 50% or less conduction. It is not a useful term except for the fact that it is used! Marriott is right in suggesting the term be used
Concealed Conduction: Atrial Flutter
Report:Sinus rhythm Left atrial abnormality (LAA) Second degree 2:1 AV block Atrial flutter 300/min Third degree AV block Idioventricular escape rhythm 41/min Inferoposterolateral MI, age uncertain, probably old Comment:The (concealed) conduction o
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