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It's the ECG's that george rejects that makes George's ECG's the best.
Anterior Infarction, LBBB & Its Escape Rhythm
Report:Fig 89: Sinus rhythm 76/min Borderline LAA LVH with ST/T changes Anterior infarction ?age Fig 89a (24 hours later): Sinus rhythm 74/min Alternating complete & incomplete left bundle branch block Primary T wave changes Fig 89b (an hour late
Left Atrial Abnormality
Report: Sinus rhythm Left atrial abnormality First degree AV block PR 0.36” Normal axis Left bundle branch block QRS 0.125” Comment: The P waves are 0.12” (3 mm) long. Their P-terminal force (PTF) in lead V1 is well over 1 mm deep and 1 mm long. F
Post-LBBB T Wave Inversion
Report: Sinus rhythm Intermittent LBBB Widespread symmetrical T wave inversion Prolonged QT interval 0.60” Comment: This patient, with recurrent TIAs, could have post-syncopal T wave inversion. There was, however, no history of any “event” - cerebral
An Unusual Agonal Alternans
Report: Sinus bradycardia 46/min First degree AV block PR 0.64” Second degree AV block, 3:2 then 2:1 Left atrial abnormality Left bundle branch block QRS 0.42” T wave alternans Comment: The T wave is unaccountably flattened in alternate cycles, pe
LBBB & Hyperkalæmia
Report: Junctional rhythm 57/min VEBs Left axis deviation Left bundle branch block Tall T waves consistent with hyperkalæmia Comment: The QRS narrowed to a left anterior hemiblock and the T waves normalised as potassium level came under control (Fig
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
Pacemaker Rhythm and LBBB
Report: Electronic demand pacemaker rhythm 70/min 2 Atrial fibrillation 2 Left bundle branch block (last 3 beats) 6 Comment: If it were not for the rhythm strip, few would notice the transition from pacemaker to supraventricular rhythm at the end of th
Fixed-Rate Pacemaker
Report: Sinus rhythm 1 Left bundle branch block 3 Fixed-rate (asynchronous) ventricular pacemaker 39/min 6 Comment: Large spikes denote a unipolar pacemaker, a feature not seen in temporary pacemakers. The slow rate would normally imply the battery de
Atrial Pacemaker: Failure to Sense
Report:Sinus rhythm 80/min 1 Atrial pacemaker 2 Failure to sense 2 Blocked atrial P waves of pacemaker origin 4 Left bundle branch block 1 Comment:There is a profusion of pacemaker spikes and LBBB complexes, giving an initial impression of variable a
Atrial Sensing and Pacing
Report:Sinus rhythm 75/min 1 VEB 1 Atrial-sensing ventricular pacemaker 3 Atrial sensing and pacing ventricular pacemaker (last beat) 4 Left atrial abnormality (LAA) 1 Comment:This is a DDD pacemaker, responding to both the atrial activity and the la