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It's the ECG's that george rejects that makes George's ECG's the best.
AV Pacemaker: No Ventricular Lead
Report:Atrial pacemaker rhythm 59/min 2 Right bundle branch block 2 AV interval 0.31” ?no ventricular lead 4 Q waves in 1, aVL, V5-6 – possible old anterolateral infarction 2 Comment:The diagnosis is suggested by the unusually long AV interval, althou
Negative Concordant Precordial Pattern in VT
Report: Ventricular tachycardia 170/min Comment: All the chest leads show negative QRS complexes. In VT, this used to be one of the criteria distinguishing it from aberrantly conducted SVT; now only positive concordance is still held valid as a VT criter
Shocking Tachycardia !
Report:Sinus tachycardia 144/min Right bundle branch block Left anterior hemiblock (axis –70o) Acute anterior infarction. Comment:The Casualty staff claimed having seen fusion beats to support their line of therapy. None could be documented, in retros
SVT with Pre-Existing Left Bundle Branch Block
Report:Supraventricular tachycardia 200/min[! XE "Supraventricular tachycardia:LBBB:QRS0.16\"" !] Northwest axis +230o Small voltage in frontal leads Left bundle branch block Comment:This is a difficult trace to diagnose with certainty: the main featu
RBBB: Paced Fusion Rhythm
Report:Sinus tachycardia 107/min 1 Atrial-sensing ventricular pacemaker, 100% capture 2 Presumptive right bundle branch block 5 Fusion complexes throughout 2 Comment:This is similar to the delectable deduction in Case 38, except that the pacemaker’s
R-on-T VT?
Report: Sinus rhythm Left bundle branch block Ventricular fusion beat (8th complex) Ventricular tachycardia (flutter)188/min Comment: The answer to the question is: none - no significance! It looks, at first, that the flutter starts with an R-on-T VE
Age Hysteresis in Thump Cardioversion
Report: Sinus tachycardia 120/min Ventricular tachycardia, polymorphous, non-sustained, 258/min (top) & variable rate SVEB Thump artefact (marked) Comment: The demonstration was deemed quite successful, until the monitor recording came out in print. T
Accelerated Idioventricular Rhythm
Report:Accelerated idioventricular rhythm 53/min Probable atrial fibrillation Probable fusion beats Comment:The tracing is of interest, inter alia, for the Cardiologist’s report. The putative RBBB is, indeed, most atypical – the broad 0.16” monophasic
Flecainide: From AF to Ventricular Tachycardia
Report: Atrial fibrillation with rapid ventricular response Ventricular tachycardia 214/min Respiratory artefact Comment: This is one of the best examples of proarrhythmia I have ever seen. There is something ironic in the meticulous recording of the
Failed Biventricular Pacemaker
Report:Sinus rhythm 63/min 1 Left atrial abnormality (LAA) 1 P wave 0.16” First degree AV block 3 PR 0.28” Right axis deviation +250o Left bundle branch block 3 Dual pacemaker, failed, 70/min 2 Comment:The combination of LBBB and RAD is virtually