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It's the ECG's that george rejects that makes George's ECG's the best.
Inferior Infarction and AIVR
Report:Sinus rhythm & arrhythmia 80/min Accelerated idioventricular rhythm 80/min Retrograde conduction Fusion beat (third last complex) Acute inferior infarction Comment:The first beat of the resumed and now faster sinus rhythm has a slightly shorte
Anterior MI: Bigeminal VEBs with Retrograde Conduction
Report:Sinus rhythm 56 – 64/min Left atrial abnormality (LAA) VEBs, bigeminal Retrograde VA conduction Acute anterior infarction Comment:It would be redundant to report poor R wave progression in the face of obvious anterior infarction (the computer
Beginning of an Endless Loop
Report: Sinus rhythm 79/min 1 VEB 1 Ventricular escape beat, preceded by attempt at atrial pacemaker escape 1 VEBs, dimorphic couplet 1 Retrograde conduction 2 Retrograde P sensing and generating pacemaker tachycardia 103/min 4 Comment: The retrogra
Complete AV Dissociation
Report: Pacemaker rhythm 80/min 3 Sinus rhythm, non-conducted, 85/min 3 Complete AV dissociation 3 Left atrial abnormality (LAA) 1 Comment: The paced complexes have the typical LBBB/LAD appearance, indicating pacing from the apex of the right ventricl
Reciprocal Rhythm
Report: Pacemaker rhythm 1 Variable rate 1 First degree AV (0.2 - 0.4”) and VA (0.47 - 0.51”) block 1 Bigeminy due to reentry (echo) beats of pacemaker origin 6 Ventricular conduction delay (unspecified) 1 Comment: All the complexes shown - atrial
Spiky Ventricular Tachycardia
Report: Pacemaker-mediated tachycardia 118/min 10 Comment: In view of the identical complexes in the admission ECG (Fig 81a) it is hard to believe that Casualty staff thought they were treating a genuine VT with amiodarone. Not to mention the same pacing
Triple Hæmodynamic Handicap
Report:Upper strip: Dual pacemaker rhythm 89/min 1 Ventricular pacing, no atrial capture 1 1:1 retrograde (ventriculo-atrial) conduction 1 SVEB, blocked 3 Atrial capture by the atrial lead following the SVEB 1 Lower strip: Dual pacemaker rhythm 89
Holter Monitor: Endless Loop Tachycardia
Report:AV sequential pacemaker rhythm 75/min 1 SVEB, blocked, inhibiting atrial pacemaker 2 Ventricular pacemaker rhythm with 1:1 retrograde conduction 2 Endless loop tachycardia 120/min 3 VEB terminating the endless loop tachycardia 1 AV sequential