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It's the ECG's that george rejects that makes George's ECG's the best.
VEBs: Retrograde Conduction
Report: Sinus rhythm VEBs, trigeminal, uniform Retrograde VA conduction Left atrial abnormality (LAA) Borderline right atrial abnormality (RAA) Probable old posterior infarction Nonspecific ST/T changes Comment: The compensatory pauses are longer t
Positively Concordant Trigeminy
Report: Sinus tachycardia 130/min VEBs in trigeminy Left atrial abnormality Minor T wave changes Comment: The VEBs are monophasic R complexes from V1 through V6. This is diagnostic of ventricular ectopic origin. A regular run of such beats, however, w
Trigeminal Tachycardia: Alternate Cycle Interpolation
Report: Sinus rhythm 85/min VEBs, interpolated in alternate cycles Trigeminy Comment: The P waves are regular throughout, but the PR intervals alternate, due to interpolation of the VEBs. The LBBB pattern of the VEBs has a characteristically slurred do
Retrograde First Degree Ventriculoatrial Block
Report:Junctional rhythm 37/min Retrograde 1o ventriculoatrial (VA) block VA interval 0.28” Right bundle branch block QRS 0.14” Probable old inferoposterolateral infarction Nonspecific ST/T changes Comment:The retrograde P waves are small and narro
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
Wrong Footprints
Report:Sinus rhythm Non-conducted SVEBs Trigeminy Left bundle branch block Comment:Surprising number of staff reported these strips as Wenckebach (Möbitz 1) second degree AV block. The reason may be the memory of Marriott's injunction to "recognise
Escape-Capture Bigeminy
Report: Sinus rhythm 92/min Second degree AV block, probably 2:1[!xe "AV block:second degree:2-1" \b!] Junctional escape beats[!xe "Junctional escape beats:second degree AV block" \b!] Escape-capture bigeminy Non-phasic aberration[!xe "Aberrant conduc
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
Another Lead 2 Problem: Narrow Pacemaker Escapes
Report:Sinus bradycardia 38/min Left atrial abnormality Pacemaker escape beats Escape-capture bigeminy ST/T changes c/c ischæmia Comment:Lead 2 rhythm strip (misprinted as lead 1 – we had a machine that always did it) shows narrow paced beats at some
Trigeminy
Report: Demand pacemaker rhythm 65/min 2 Hysteresis rate 60/min 3 Intermittent retrograde conduction 2 Sinus capture beats 2 Trigeminy 1 Probable sick sinus syndrome 0 Comment: To comment on the appropriateness of the pacing rate one has to know th