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It's the ECG's that george rejects that makes George's ECG's the best.
AV Block in Inferior Infarction
Report: Top: Sinus rhythm VEB Third degree AV block Junctional escape rhythm 42/min Second strip: Sinus tachycardia 104/min Second degree AV block, 2:1 conduction First degree AV block in conducted beats (PR 0.44”) Third strip: Sinus tachycardi
Agonal Rhythm
Report:Sinus bradycardia ?Shifting pacemaker SVEBs RBBB 3rd degree AV block. Ventricular standstill Comment:Normally, the right atrium is the last part of human heart to stop beating. This is not possible to diagnose from surface electrocardiogram
First Degree AV Block
Report:Sinus rhythm 72/min First degree AV block (PR 0.42”) VEBs SVEBs, blocked Left axis deviation –60o Old inferior and anterior infarction Junctional escape beats (last and first) QRS complex Comment:There is some variation in the long PR interv
Let the Sleeping Dog Lie?
Report:Sinus arrhythmia 45 - 68/min Second degree AV block Two blocked P waves Comment:It is disconcerting to see a spontaneous 3.7" pause, but (i) the patient had a recent inferior MI and (ii) remained asymptomatic during similar episodes while awake.
LBBB: Old Myocardial Infarction
Report:Sinus rhythm 64/min Third degree AV block Junctional escape rhythm 36/min Left bundle branch block QRS 0.22” Probable old anterior infarction Comment:The patient had LBBB since his original infarction; the present morphology is identical to
‘Trifascicular’ Block
Report: Sinus rhythm Left atrial abnormality (LAA) First degree AV block PR 0.28” Left posterior hemiblock Right bundle branch block Old anterior infarction Comment: The term ‘trifascicular’ is sufficiently polysyllabic and scientific-sounding to c
LBBB with Prominent R Wave in V2
Report:Sinus rhythm First degree AV block PR interval 0.24” Left bundle branch block Comment:Prominent narrow R wave in V2, with subsequent diminution (through V5 in this example) is said to be a sign of old anterior infarction with LBBB. In my experi
Large Right Precordial R Waves in LBBB
Report:Sinus tachycardia 120/min Left atrial abnormality (LAA) Left bundle branch block Probable old anterior infarction Comment:The right precordial are waves look typically thin, like antennæ or unipolar pacing spikes. There is also a loss of R am
Atypical LBBB: Anterolateral Q Waves
Report: Sinus rhythm SVEBs, runs of SVT Left axis deviation –50o Intraventricular conduction delay, probably atypical left bundle branch block Probable old anterior infarction ST/T changes suggest infarction/ischæmia. Comment: Post-arrest ECGs (and
LBBB with RAD: Acute Inferior Infarction
Report:Sinus rhythm 96-100/min Third degree AV block Junctional escape rhythm 45/min Left bundle branch block Right axis deviation +95o Acute inferior infarction Comment:Three contributors to heart failure are present in this trace: Acute infarction