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It's the ECG's that george rejects that makes George's ECG's the best.
Fat Parents With Lean Children
Report: Sinus rhythm SVEBs VEBs Intraventricular conduction delay Probable LBBB QRS 0.14” Ventricular fusion beats Comment: Rhythm strips are not the most reliable material for the diagnosis of a bundle branch block (or, for that matter, of anyth
Fusion Beats in Idioventricular Escape Rhythm
Report:Sinus bradycardia 27/min First degree AV block Right bundle branch block (by inference) Right bundle branch escape rhythm 28/min Fusion beats Comment:As the PR interval shortens the QRS gets fatter. This means that the P waves are conducted. T
Lean Children of Fat Parents
Report: Sinus arrhythmia ? Sino-atrial exit block, Möbitz I Right bundle branch block Pacemaker escape beats Ventricular fusion beats ‘Normalisation’ of QRS Comment: Both ‘normal’ complexes (one in each strip) and the small RBBB complex (6th in the
Pseudoalternans
Report:Sinus tachycardia 111/min VEBs in bigeminy Fusion beats Comment:The first fusion beat appears at the end of the top strip. The middle strips show VEBs in bigeminy, without fusion; the bottom strip shows later-coupled VEBs in fusion, mimicking al
Alternating Paced and Fusion Beats
Report:Slow atrial or junctional rhythm 38/min 2 Ventricular pacemaker rhythm 79/min 2 Superior electrode placement 2 Fusion in alternate beats 2 Presumptive RBBB 1 ST/T changes of uncertain significance 1 Comment:The narrower (0.12 sec) complexes a
Lean Child of Fat Parents
Report:Sinus rhythm 60/min 1 First degree AV block 1 Right bundle branch block 1 AV sequential pacemaker rhythm 60/min 1 No atrial capture 1 Ventricular pacemaker rhythm 60/min 1 Superior electrode displacement 1 Fusion beats 3 Comment:The tempor
DDD Pacemaker in Acute Infarction with 2:1 AVB
Report:Sinus tachycardia 124/min 2:1 AV block A-sensing ventricular pacemaker rhythm 62/min Fusion beats Acute or recent inferolateral infarction Comment:My first thought was something exotic: accrochage between the temporary pacemaker and the sinus
Flutter Bigeminy
Report:Atrial flutter 252/min 2 Alternating 2:1 & 4:1 block 2 Demand pacemaker 1 Pseudofusion spikes in alternate complexes 2 Small voltage, limb leads 1 Possible old anteroseptal infarction 1 Nonspecific ST/T changes 1 Comment:The pacemaker rate i
AV Dissociation with Interference
Report:Sinus rhythm 1 Borderline right atrial abnormality (RAA) 1 SVEB 1 Ventricular demand pacemaker rhythm 72/min 2 AV dissociation with interference 2 Fusion beat 2 Nonspecific ST/T changes 1 Comment:The sinus P waves march through the first fo
Delectable Deductive Diagnosis of RBBB/LPHB
Report: Dual chamber pacemaker rhythm 70/min 2 Frontal plane axis –20o 2 Ventricular fusion complexes throughout 3 Probable underlying right bundle branch block with right axis deviation 3 Comment: I make no apologies for the subcontinental flavour of