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It's the ECG's that george rejects that makes George's ECG's the best.
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
Over the Top
Report: Sinus rhythm First degree AV block (shortest PR 0.48”)[!xe "AV block:first degree:skipped P waves" \b!] Second degree AV block, Möbitz 1 (Wenckebach) Skipped P waves (over the top conduction)[!xe "P wave:skipped" \b!] Comment: This is quite a
Skipped P Waves in Wenckebach Conduction
Report: Sinus tachycardia 120-128/min First degree AV block Second degree AV block, Möbitz 1 Periods of 3:2 conduction, with bigeminy Right bundle branch block Pacemaker rhythm 72/min Fusion and pseudofusion beats Comment: The key to correct interp
Möbitz I & II Combined: Arrhythmia Simulator
Report:Sinus rhythm. Möbitz 1 [Wenckebach] second degree AV block, with 3:2 and 4:3 periods [top strip]. Möbitz 2 second degree AV block, with 3:2 and 4:3 periods. Complete RBBB coincident with Möbitz II block. Complete AV block [bottom strip]. Comme
An Optical Illusion
Report: Sinus tachycardia 116/min First degree AV block PR 0.40” Normal axis Left bundle branch block QRS 0.125” Comment: This is one of the traces I originally misreported (as NPJT). One way for any ECG to find its way into this Library is to have
Ventricular Fusion Beats
Report: Sinus rhythm First degree AV block PR 0.28” VEBs, possible parasystole Ventricular fusion beats Left bundle branch block QRS 0.20” Comment: The criteria for diagnosing ventricular fusion beats were formulated by Marriott et al18 in 1962:
The TUP phenomenon
Report: Sinus tachycardia 107/min Borderline left axis deviation – 30o Nonspecific ST/T changes Prominent U wave Comment: The inferior leads show it well. If Marriott had not dignified it with a (however jocular) name105, it probably would not be here
Horizontal Heart
Report: Sinus rhythm Normal axis (-14o) Horizontal heart position Late transition ECG within normal limits Comment: The electrical heart position is defined by leads aVL and aVF alone; the term is a descriptive one, only useful if there is no abnorma
VEBs & U Waves: Hypokalæmia
ReportSinus rhythm. Sinus arrhythmia. VEBs, bigeminy. Prominent U waves consistent with hypokalæmia. Comment:The ECG monitor alarmed at the heart rate 34/min. This need not be merely spurious bradycardia, a mistake in the first place, due to negative
Sotalol Overdose
Report:Sinus rhythm 62/min 2:1 AV block Ventriculophasic sinus arrhythmia Prolonged QT interval 0.58” QTc 0.58” Comment:The blocked alternate P waves are not very obvious, superimposed on prolonged, themselves rather wavy, T waves. Also, alternate at