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It's the ECG's that george rejects that makes George's ECG's the best.
Wolff-Parkinson-White Syndrome Type ‘A’ Diagnosed as VT
Report:Atrial fibrillation with rapid response 177/min Anomalous conduction except for last three beats WPW syndrome Comment:This is a fairly typical example, showing either completely anomalous or completely normal complexes. The Cardiology Registrar
Escape-Capture Bigeminy in AF
Report: Atrial fibrillation High-grade or complete AV block Junctional rhythm 39/min Pacemaker (escape) rhythm Escape-capture bigeminy Left anterior hemiblock (LAHB) Right bundle branch block Anteroseptal infarction, age uncertain ST/T changes con
Jarisch-Bezold Reflex
Report: Atrial fibrillation with slow response Junctional escape beat(s) Comment: There is no observable atrial activity, but the patient had atrial fibrillation since admission. The strips could pass, electrocardiographically, for sinus arrest or atria
Complete AV Block
Report:Third degree AV block Sinus bradycardia 42/min Junctional beats (top strip) Atrial fibrillation Junctional escape rhythm 36/min Pacemaker rhythm 82/min Short QT interval ? digoxin toxicity Comment:The varied atrial activity has no effect on
AF with Regular Response?
Report: Atrial fibrillation Accelerated (idio)junctional rhythm Comment: Verapamil is known to “regularise” the ventricular response to atrial fibrillation. Completely regular rhythm, however, implies AV block and the presence of an escape pacemaker. I
Atrial Fibrillation with Complete AV Block
Report:Atrial fibrillation Third degree AV block VEB Junctional escape rhythm 42/min Possible old inferior MI Diffuse ST/T changes Comment:The ventricular rate is completely regular and slow, disturbed only by a single VEB. The VEB looks like LBBB,
Complete Heart Block in Atrial Fibrillation
Report:Atrial fibrillation Third degree AV block Junctional escape rhythm 44/min LVH with ST/T changes ? incomplete LBBB Comment:At times there is a suggestion of flutter-like organised atrial activity, but the baseline is too variable for flutter. Th
Phasic Aberrant Conduction in AF: Ashman’s Phenomenon
Report:Atrial fibrillation with ventricular response 108/min Ashman’s phenomenon Nonspecific inferior T wave changes Comment:The chest discomfort could be ascribed to AF. In 1947 Gouaux and Ashman published a report of RBBB aberration mimicking VT dur
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
Masquerading and Left BBB: BBBB
Report:Atrial fibrillation with rapid ventricular response 150/min Right bundle branch block Left anterior hemiblock Left bundle branch block Bilateral bundle branch block. Nonspecific ST/T changes Comment:In this case one can diagnose BBBB directly