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It's the ECG's that george rejects that makes George's ECG's the best.
Double, Perhaps Triple Tachycardia
Report:Bidirectional tachycardia 158-162/min[! XE "Bidirectional tachycardia" \t "See Ventricular tachycardia, bidirectional" !] Suggestive of digoxin toxicity Dissociated atrial tachycardia with block Comment:This is the classical form of bidirectiona
Idiopathic Ventricular Tachycardia
Report: Ventricular tachycardia 181/min Comment: The rate is made irregular by the presence of shorter cycles, as in the Case 2 or Case 61; this is no impediment to the diagnosis of VT. As in the Case 2, the QRS morphology is diagnostic of an ectopic ven
Complex Complex of Complex Complexes
Report: Ventricular (fascicular) tachycardia 139/min Retrograde VA block , Möbitz 1 Incomplete Wenckebach sequences Reentry (echo) beats of ventricular origin Comment: As shown on the laddergram below, the longest retrograde RP interval in each triple
Another Irregular Monomorphic Ventricular Tachycardia
Report: Ventricular tachycardia 152/min Comment: Marked cycle length irregularity is uncommon in sustained monomorphic VT, especially at faster rates, except at the onset or termination of the paroxysm58. Nevertheless, slight variation in cycle length is
Rapid SVT With RBBB Aberrancy
Report: Broad-complex, probably supraventricular, tachycardia 270/min ?Atrial flutter with 1:1 conduction and RBBB aberrancy Comment: The initial QRS looks normal in all the leads, while the late forces could “pass” for RBBB; the axis appears indetermin
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
Two Wrongs Making Two Rights!
Report: Sinus tachycardia 110/min Left bundle branch block Left axis deviation Runs of ventricular tachycardia 150 - 160/min AV dissociation Ventricular fusion beats Comment: This is from Schamroth himself: two wrongs sometimes make a right60. The t
Ectopic Pacemaker
Report:AV pacemaker rhythm 59/min; AV interval 020” (as programmed) 0.5 Displaced ventricular lead 3 Intermittent failure to pace & native QRS conduction at spike-R interval 0.36” 4 Failure to sense (the delayed atrial-paced native QRS) 2 ST/T changes
Ventricular Flutter
Report: Top: Tachycardia 158/min of undetermined origin, possibly sinus Second strip: Tachycardia 165/min, as above, QRS broadening VEBs Ventricular flutter 250/min, with a torsade de pointes Third strip: Ventricular flutter 262/min Fourth strip:
Positive Concordant Precordial Pattern in VT
Report: Ventricular tachycardia 175/min Comment: The diagnosis depends on: - concordant (positive) precordial pattern - monophasic R wave in V1 - AV dissociation - known pre-existing LBBB62 Below (Fig 67a) is his 12-lead ECG 3 hours earlier, in mult