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It's the ECG's that george rejects that makes George's ECG's the best.
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/
Pseudo P Waves
Report:Ventricular tachycardia 102/min Sinus rhythm 70/min Sinus capture (fusion) beats with first degree AV block Comment:The initial QRS forces mimic a P wave70 and would be difficult to differentiate from it were it not for the presence of large, bi
Left Ventricular Epicardial Pacemaker
Report:AV pacemaker rhythm 81/min 2 Unusual axis ? left ventricular electrode 8 Comment:The pacemaker has 100% atrial and ventricular capture. The unusual RAD in the frontal plane and RV1 suggest a left ventricular electrode. This may be deliberate or
Fatal Digoxin Toxicity
[!xe "Digoxin toxicity:VT:fatal DCC" \i!] Report:Fascicular tachycardia 178/min. Comment:The most likely diagnosis is a fascicular VT, consistent with digoxin toxicity. In fact the Cardiology Registrar knew that serum digoxin was in the toxic range (3.9
Old Anterior MI in VT & VEBs
Report:Ventricular tachycardia 200/min Probable old anteroseptal infarction Comment:The VT has a deep Q wave, QrS morphology and associated ST elevation resembling an infarct pattern. Sometimes the previous infarct is only visible when revealed by VEBs.
Semiventricular Tachycardia
Report:Sinus rhythm 61/min. First degree AV block (PR 0.24"). VEBs, interpolated, in bigeminy. Semiventricular tachycardia 122/min. Probable old anterior MI. Comment:The tachycardia consists of sinus rhythm + interpolated VEBs. The term semiventricul
Ventricular Tachycardia: Pseudo P Waves at Either Complex End
Report:Sinus rhythm 84/min. Ventricular tachycardia 132/min. Complete AV dissociation. Comment:The broad-complex tachycardia has QRS duration 0.20", extreme "Northwest" axis and, best of all, taller left rabbit ear in V1 to declare its ventricular orig
Positive Concordant Precordial Pattern
Report:Pacemaker rhythm 63/min 2 1:1 retrograde conduction 3 Positive concordant precordial pattern 5 Comment:This is a temporary, bipolar unit, inserted in CCU. The patient had a very large right ventricle or the lead is inadvertently placed in the po
Broad-Complex Ventricular Tachycardia
Report:Ventricular tachycardia 163/min Comment:This example would be difficult to assign LBBB- or RBBB-like status in view of the RS complex in V1. Nevertheless, the QRS duration of approximately 0.20” is in excess of 0.16” required for LBBB-like VT, let
Ventricular Tachycardia: RV1
Report:Ventricular tachycardia 220/min. Comment:The patient's age and the relatively fast rate must have influenced the first choice of aberrancy in the Casualty report. The "VT with underlying WPW", however, suggests diagnostic skills beyond electrocard