Search the collection
It's the ECG's that george rejects that makes George's ECG's the best.
Pseudo-Wenckebach due to Low Upper Rate Limit
Report: Sinus rhythm 92-96/min 0.5 Conducted sinus capture beat (penultimate QRS) 0.5 First degree AV block (PR 0.24”) 0.5 Second degree AV block (last cycle) with ventricular pacemaker escape beat 0.5 Atrial-sensing ventricular pacemaker 1 4:3 pseu
Multiform Ventricular Tachycardia
Report: Sinus tachycardia 180/min VEBs, some in bigeminy Multiform ventricular tachycardia 280-310/min Comment: The sinus tachycardia was confirmed on 12-lead ECGs. It is very fast, reflecting both continued pain and hæmodynamic instability. The VEB
Cardioverter-Defibrillator During Ventricular Tachycardia
Report:Ventricular tachycardia 133/min Burst of overdrive pacing 160/min Fusion beat Comment:This is the same patient as Case 4, five years later. The ICD does not always work, but the patient is alive, with numerous episodes of VT perhaps rendered les
Axis Illusion
Report: Sinus rhythm VEBs, frequent, multiform Bigeminy Concordant precordial pattern Ventricular tachycardia 120/min (4 beats at the onset of recording) Possible bidirectional ventricular tachycardia Comment: The two beats with marked superior (lef
Another Variant Form of Bidirectional Ventricular Tachycardia
Report: Bidirectional ventricular tachycardia 184/min Comment: Like in the preceding case, lead V1 has basic LBBB morphology. This patient, with known pre-existing LBBB, received adenosine for presumptive SVT, without effect. Sotalol, 80 mg IV, abolished
Ventricular Tachycardia Rightly (Mis)diagnosed
Report:Ventricular tachycardia 170/min Comment:There is nothing against the diagnosis of VT in this trace, and a lot in its favour: monophasic R waves in V1 with left rabbit ear taller than the right and QRS duration over 0.14” (in basic RBBB morphology)
Variant Form of Bidirectional Ventricular Tachycardia
Report: Bidirectional ventricular tachycardia 140/min Comment: The tachycardia is bidirectional in lead 2 and merely alternating in several other leads. It was a direct descendant of a monomorphic VT (not shown); its other parent may have been 80 mg of s
Ventricular Tachycardia
Report: Ventricular tachycardia 190/min Comment: There is a monophasic R in V1, QS in V4-6 and nonsense axis in the frontal plane - the trace is virtually diagnostic of VT. One could think of atypical RBBB with anterolateral infarction or WPW with antegr
Sotalol Torsades de Pointes
Report: Sinus rhythm 67/min Borderline first degree AV block PR 0.20” VEBs, frequent Runs (3-beat, 5-beat) of multiform ventricular tachycardia Incomplete LBBB Prolonged QT interval Comment: The patient’s torsades (Fig 56a) were treated by MgSO4,
Ventricular or Another Atrial Tachycardia?
Report: Ventricular tachycardia 178-180/min Comment: The tachycardia basic LBBB morphology with right axis deviation; the nadir of the S wave in V1 came after more than 0.06”. It looked like VT: RAD with LBBB has never been reported as aberrancy8. This c