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It's the ECG's that george rejects that makes George's ECG's the best.
SVT or Verapamil-Responsive VT?
Report:SVT or VT 156/min. Right bundle branch block. Left anterior hemiblock. Comment:The tachycardia has a typical RBBB/LAHB morphology consistent with aberrantly conducted SVT. The rate varies slightly; this has no diagnostic significance. The probl
Verapamil-Sensitive Ventricular Tachycardia
Report: Ventricular tachycardia 152/min Comment: This arrhythmia resisted flecainide, sotalol, digoxin and adenosine; verapamil slowed the rate significantly (Fig 82a) and allowed partial sinus captures, but could not abolish it. The cardioversion was ef
Runs of Ventricular Tachycardia
Report: Runs of monomorphic ventricular tachycardia 155/min Spontaneous termination Atrial and junctional escape beats Sinus tachycardia SVEBs ?multifocal atrial tachycardia Intraventricular conduction defect, possibly LBBB Comment: The patient's ar
SVT with LBBB
Report: Supraventricular tachycardia 152/min Left bundle branch block Comment: The rS complexes in lead V1 are perfectly ‘normal’ LBBB complexes in that the initial R wave is narrow, the S downstroke is sharp and the upstroke slurred. The frontal plane
Dangerous WPW Syndrome
Report: Atrial fibrillation Rapid response 240-300/min Anomalous (WPW) conduction, type ‘B’ Comment: If the observed cycle lengths during atrial fibrillation are less than 0.25” (250 milliseconds sounds more ‘learned’ in this context), the patient is
Tachycardia with Complete & Incomplete LBBB
Report:Atrial flutter with 2:1 AV block. Alternating complete & incomplete LBBB. Primary T wave changes. Comment:This is another form of bidirectional tachycardia. It is also an example of double 2:1 block: one in the AV node (for atrial flutter) and a
Bigeminal Ventricular Tachycardia
Report: Atrial fibrillation Incomplete left bundle branch block Probable acute lateral infarction Ventricular tachycardia 204/min[!xe "Ventricular tachycardia:bigeminal" \t "See alternating cycle length"!] Alternating cycle length Comment: The diagno
Wolff-Parkinson-White Syndrome Type ‘A’ Diagnosed as VT
Report:Atrial fibrillation with rapid response 177/min Anomalous conduction except for last three beats WPW syndrome Comment:This is a fairly typical example, showing either completely anomalous or completely normal complexes. The Cardiology Registrar
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
Arrhythmogenic Right Ventricular Dysplasia
Report: Double sensitivity (1mV = 20mm) Sinus rhythm 73/min VEB Right axis deviation (RAD) +110o Right atrial abnormality (RAA) Absolute small voltage (note the 20 mm/mV calibration) Poor R wave progression Nonspecific ST/T changes Epsilon wave &