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It's the ECG's that george rejects that makes George's ECG's the best.
Sudden Death During Holter Monitoring
Report:Top: Sinus rhythm Dimorphic VEB couplet Middle: Deepening T wave inversion VEB R-on-T VEB following post-ectopic pause Ventricular tachycardia 187/min following R-on-T VEB Bottom (after carotid sinus massage): Ventricular tachycardia 212
Run of Ventricular Tachycardia
Report: Sinus rhythm 97/min VEBs Ventricular tachycardia 160/min AV dissociation Left atrial abnormality (LAA) First degree AV block PR 0.32” Left bundle branch block Comment: The last cycle of the VT is shorter than others, indicating an exit blo
Small Ectopics
Report:Sinus rhythm. VEBs. Junctional escape beats. AV dissociation. Retrograde conduction (of VEBs). Comment:The small complexes are probably VEBs, although aberrant junctional beats cannot be excluded. A 12-lead ECG would help. Note the mirror-imag
R-on-T VEB: Ventricular Fibrillation
Report: Sinus rhythm 92/min (top) R-on-T VEB Ventricular fibrillation DC defibrillation (third strip) Post-countershock sinus bradycardia, VEB Sinus tachycardia 115/min (bottom) Comment: A reperfusion arrhythmia is not expected a day after. At any r
Bigeminy or Quadrigeminy?
Report: Sinus rhythm approx. 54/min First degree AV block, variable VEBs, bigeminal Concealed retrograde conduction Pacemaker escape beats Comment: This is an allorhythmia, a repetitive sequence of (in this case) four beats. The VEBs themselves are,
VEB couplets: Two for the Price of One
Report: Sinus rhythm 78/min VEBs, frequent, some in couplets (pairs) Poor R wave progression Nonspecific ST/T changes Comment: The VEBs have typical qRR’ morphology, with left rabbit ear taller than the right; the pauses are fully compensatory. The la
No Response to DC Cardioversion
Report: Probable atrial flutter or fibrillation Non-sustained monomorphic ventricular tachycardia 160/min Inferior infarction ?age Comment: The patient was one of those surgical disasters that attract multiple medical consultations in the hope of expla
Positively Concordant Trigeminy
Report: Sinus tachycardia 130/min VEBs in trigeminy Left atrial abnormality Minor T wave changes Comment: The VEBs are monophasic R complexes from V1 through V6. This is diagnostic of ventricular ectopic origin. A regular run of such beats, however, w
March of Rosenbaum’s Extrasystoles
Report:Sinus rhythm VEBs Runs of non-sustained monomorphic ventricular tachycardia 138/min Borderline left atrial abnormality Nonspecific ST/T changes Comment:By definition, non-sustained VT lasts less than ½ minute. It is a different species from su
Acute Infarct Pattern in Ventricular Tachycardia
Report: Ventricular tachycardia 120/min Spontaneous termination & onset in the (subsequent) rhythm strip Sinus escape beat Probable anterior infarction Comment: There is little doubt about the acute anterior infarction, despite the bizarre complexes.