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It's the ECG's that george rejects that makes George's ECG's the best.
Bigeminal Ventricular Tachycardia
Report:Ventricular tachycardia 173/min Alternating cycle length Comment:The patient had presyncopal paroxysms of VT, though to be SVT by many because of its relatively narrow QRS. They were even more convinced when, in Casualty, he reverted to sinus rhy
VEB couplets: Two for the Price of One
Report: Sinus rhythm 78/min VEBs, frequent, some in couplets (pairs) Poor R wave progression Nonspecific ST/T changes Comment: The VEBs have typical qRR’ morphology, with left rabbit ear taller than the right; the pauses are fully compensatory. The la
Acute Infarct Pattern in Ventricular Tachycardia
Report: Ventricular tachycardia 120/min Spontaneous termination & onset in the (subsequent) rhythm strip Sinus escape beat Probable anterior infarction Comment: There is little doubt about the acute anterior infarction, despite the bizarre complexes.
Axis Illusion
Report: Sinus rhythm VEBs, frequent, multiform Bigeminy Concordant precordial pattern Ventricular tachycardia 120/min (4 beats at the onset of recording) Possible bidirectional ventricular tachycardia Comment: The two beats with marked superior (lef
Variant Form of Bidirectional Ventricular Tachycardia
Report: Bidirectional ventricular tachycardia 140/min Comment: The tachycardia is bidirectional in lead 2 and merely alternating in several other leads. It was a direct descendant of a monomorphic VT (not shown); its other parent may have been 80 mg of s
Another Variant Form of Bidirectional Ventricular Tachycardia
Report: Bidirectional ventricular tachycardia 184/min Comment: Like in the preceding case, lead V1 has basic LBBB morphology. This patient, with known pre-existing LBBB, received adenosine for presumptive SVT, without effect. Sotalol, 80 mg IV, abolished
Irritable Heart
Report:Sinus tachycardia 115/min Intraventricular conduction delay QRS 0.11” SVEBs VEBs, frequent, bigeminal, couplet, multiform Ventricular-ventricular bigeminy (bottom) in dimorphic ventricular tachycardia Runs of ventricular tachycardia 220 - 280/
Bigeminal Ventricular Tachycardia
Report: Atrial fibrillation Incomplete left bundle branch block Probable acute lateral infarction Ventricular tachycardia 204/min[!xe "Ventricular tachycardia:bigeminal" \t "See alternating cycle length"!] Alternating cycle length Comment: The diagno
Pacemaker & Native Escape-Capture Bigeminy
Report:Sinus bradycardia 37/min Junctional & pacemaker escape beats Escape-capture bigeminy Pseudofusion beats Fusion beat Ventricular conduction defect, unspecified Comment:The escape-capture phenomenon depends in this case on sinus bradycardia. T
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