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It's the ECG's that george rejects that makes George's ECG's the best.
Shocking VT Cheating the Paddles
Report: Ventricular tachycardia 210/min Spontaneous termination Sinus rhythm Left atrial abnormality (LAA) VEBs Acute anterior infarction Movement artefact Leads V2-3 missing Comment: The tracing is rather chaotic, secured in a hurry on a sick pat
Shocking Tachycardia !
Report:Sinus tachycardia 144/min Right bundle branch block Left anterior hemiblock (axis –70o) Acute anterior infarction. Comment:The Casualty staff claimed having seen fusion beats to support their line of therapy. None could be documented, in retros
Old Anterior MI in VT & VEBs
Report:Ventricular tachycardia 200/min Probable old anteroseptal infarction Comment:The VT has a deep Q wave, QrS morphology and associated ST elevation resembling an infarct pattern. Sometimes the previous infarct is only visible when revealed by VEBs.
Semiventricular Tachycardia
Report:Sinus rhythm 61/min. First degree AV block (PR 0.24"). VEBs, interpolated, in bigeminy. Semiventricular tachycardia 122/min. Probable old anterior MI. Comment:The tachycardia consists of sinus rhythm + interpolated VEBs. The term semiventricul
SVT with LBBB
Report: Supraventricular tachycardia 152/min Left bundle branch block Comment: The rS complexes in lead V1 are perfectly ‘normal’ LBBB complexes in that the initial R wave is narrow, the S downstroke is sharp and the upstroke slurred. The frontal plane
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
3:2 Möbitz 2 AV Block
Report: Sinus tachycardia 106/min Left atrial abnormality (LAA) Möbitz 2 second degree AV block, 3:2 conduction, with bigeminy Indeterminate axis –140o Right bundle branch block Anteroseptal infarction, probably old Comment: In all instances of two
Cherchez le P!
Report: Sinus rhythm Second degree AV block, Möbitz 1 Acute inferior infarction Comment: The title is part Marriott’s famous phrase on how to tackle arrhythmias95; it paraphrases the once even more famous cherchez la femme, now squashed by the politica
Concealed Conduction: Atrial Flutter
Report:Sinus rhythm Left atrial abnormality (LAA) Second degree 2:1 AV block Atrial flutter 300/min Third degree AV block Idioventricular escape rhythm 41/min Inferoposterolateral MI, age uncertain, probably old Comment:The (concealed) conduction o
Alternating Retrograde Conduction in Accelerated Junctional Rhythm
Report:Accelerated junctional rhythm 92/min 2:1 retrograde block Right axis deviation Lateral infarction, acute or recent Borderline small voltage in frontal leads Electrical alternans V1 Comment:One would be tempted to say that this trace is an exa