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It's the ECG's that george rejects that makes George's ECG's the best.
LBBB with Transient Right Axis Deviation: Ischæmic Cardiomyopathy
Report: Sinus rhythm Right axis deviation (RAD) + 140o Left bundle branch block Comment: The unusual combination of LBBB and RAD is a surprisingly specific marker of congestive cardiomyopathy29. This patient had CABG following an inferolateral MI; subs
Supernormal Conduction in LBBB
Report:Atrial fibrillation with ventricular response 93/min Left bundle branch block, intermittent Supernormal conduction Probable LVH with ST/T changes (incomplete LBBB) Comment:The transition to narrow(er) QRS toward the end of the recording occurs
PAT with Block: LBBB RSR' in V1
Report:Atrial tachycardia 216/min with 2:1 block. LBBB. Comment:The only indisputable part of the computer and the Cardiologist’s reports is tachycardia. The tachycardia could not be sinus tachycardia even if there was a 1:1 conduction: the morphology
Right, Left, then Right Bundle Branch Block
Report:Sinus tachycardia 140/min Second degree AV block First degree AV block in conducted beats PR 0.30” SVEBs, blocked (causing the pauses) Left bundle branch block Primary repolarisation changes c/c infarction/ischæmia Comment:This is an obvious
Rate-Dependent LBBB
Report: Sinus rhythm 90/min SVEBs, blocked, in bigeminy Left bundle branch block, rate-dependent Comment: The blocked atrial extrasystoles are discretely etched on the onset of the T wave. A sustained run could be mistaken for sinus bradycardia 50/min.
Transient LBBB with RAD & Prolonged Interpolation Effect
Report:Sinus rhythm and arrhythmia VEBs, interpolated Sustained PR interval prolongation Left bundle branch block Transient right axis deviation post-VEBs Possible old anterolateral infarction Comment:Two things are of interest here: diminuendo PR i
Acute Infarction with Pre-existing LBBB
Report:Sinus rhythm 60/min Left atrial abnormality (LAA) Left bundle branch block Acute inferior & anterior infarction Comment:The diagnosis was based on new and marked ST segment elevation in the inferior leads and V3 as well as concordant T inversio
Anterior Infarction and Rate-Dependent LBBB
Report:Sinus rhythm 66/min SVEBs, blocked Rate-dependent left bundle branch block Anterior infarction ?age Comment:The pauses created by the non-conducted SVEBs are long, but still not fully compensatory. The complexes terminating the pauses are norma
LBBB: Primary T Wave Changes
Report:Sinus rhythm 65/min First degree AV block PR 0.28” Left bundle branch block Primary T wave changes 2, 3 and aVF Comment:LBBB always causes repolarisation changes directed opposite the main QRS deflection, especially its terminal half. They are
Inferolateral Infarction & LBBB
Report:Sinus rhythm 88/min Left bundle branch block Acute inferolateral infarction Comment:Unlike the previous case’s IVCD, this one shows typical LBBB, with sharp S descent and slower ascent in V1. Despite this, there is a concordant ST segment elevat