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It's the ECG's that george rejects that makes George's ECG's the best.
Sustained Concealed Conduction on Holter Monitor
Report:Sinus rhythm 60 – 70/min Borderline first degree AV block Second degree AV block, Wenckebach (Möbitz 1) type VEB, interpolated Concealed retrograde conduction in three subsequent cycles Comment:Sustained PR interval prolongation after an inter
Echo Beats
Report: Sinus rhythm (7 beats) Ventricular tachycardia (4-beat run) VEBs, couplet (two beats) Reentry (echo) beats of ventricular origin (two beats) Comment: There are more QRS complexes of ventricular than supraventricular origin here - 8 vs. 7. Bo
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
Bigeminal Ventricular Tachycardia
Report: Monomorphic ventricular tachycardia 90 – 110/min Alternating cycle length, with bigeminy Retrograde conduction, 1:1 Probable old anterior infarction Comment: Most of the rate variation is in the long cycles. The basic mechanism is probably 3:
VT or VF?
Report: Supraventricular rhythm, probably sinus with SVEBs R-on-T VEBs Ventricular fibrillation Comment: It is sometimes quite difficult to determine if a very fast ventricular rhythm is multiform VT, perhaps torsades de pointes, of VF. This trace was
The Frailty of Lead 2 Monitoring
Report:Sinus rhythm 78/min VEBs in bigeminy Right bundle branch block Small voltage Possible old anterior infarction Comment:Leads V1-5 clearly distinguish between the ectopic ventricular and the sinus RBBB conduction. Lead 2 performs, as usual, badl
Interpolation in Alternate Cycles
Report:Sinus rhythm 51/min VEBs, interpolated in alternate cycles Trigeminy Non-specific ST/T changes Comment:The VEBs are typical, with nonsense axis and qR morphology in V1; their concealed retrograde conduction114, prolonging the PR intervals of th
Fascicular VT with 1:1 Retrograde Conduction
Report:Ventricular tachycardia 106/min 1:1 retrograde conduction Comment:This is a very slow VT – well within what some authorities would call AIVR. It is fascicular, with the QRS complex only 0.12” long. Its morphology is that of basic RBBB/LAHB, of kn
Ventricular Escape Beat
Report : Sinus rhythm 70/min SVEBs VEB Left atrial abnormality (LAA) Left anterior hemiblock Right bundle branch block Prolonged QT interval (QTc 0.50”) Nonspecific ST/T changes Possible LVH (R in aVL >15mm, R1 + S3 > 27mm) Probable anterosepta
VEB: the Compensatory Pause
Report:Sinus rhythm 62/min First degree AV block (PR 0.22”) VEB Left bundle branch block Comment:The P waves are sharply etched in V1 and the one blocked by the VEB is seen quite clearly. There is no need to measure the compensatory pause containing i