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It's the ECG's that george rejects that makes George's ECG's the best.
Pacemaker Syndrome: Paced Bigeminy
Report:Pacemaker rhythm 71/min 1 AV sequential (probably DDD) pacemaker 2 Reentry paced beats of pacemaker origin 5 Bigeminy 1 No evidence of paced atrial capture 1 Comment:The trace should be compared to the previous one, where each atrial pacing sp
Flutter Bigeminy
Report:Atrial flutter 252/min 2 Alternating 2:1 & 4:1 block 2 Demand pacemaker 1 Pseudofusion spikes in alternate complexes 2 Small voltage, limb leads 1 Possible old anteroseptal infarction 1 Nonspecific ST/T changes 1 Comment:The pacemaker rate i
Unusual Mechanism of Escape-Capture Bigeminy
Report: Sinus rhythm 0.5 SVEBs, blocked, in (atrial) trigeminy 2 AV sequential pacemaker, atrial-sensing (probably DDD) 0.5 Failure to sense SVEBs 4 Atrial-paced escape beats 0.5 Ventricular bigeminy (atrial trigeminy!) 2 Nonspecific T wave changes
Reciprocal Rhythm
Report: Pacemaker rhythm 1 Variable rate 1 First degree AV (0.2 - 0.4”) and VA (0.47 - 0.51”) block 1 Bigeminy due to reentry (echo) beats of pacemaker origin 6 Ventricular conduction delay (unspecified) 1 Comment: All the complexes shown - atrial
Atrial Sensing & Undersensing
Report:Atrial-sensing & pacing ventricular pacemaker rhythm 60/min 3 Atrial premature beats, possibly sinus 3 Blocked or sensed with first degree AV block or not sensed 3 Atrial bigeminy 1 Comment:All the QRS complexes are paced. The morphology of t
T Wave Sensing
Report:Pacemaker rhythm 60/min 1 No atrial capture 2 No apparent atrial activity 3 Paced extrasystoles at 0.48 – 0.56” coupling; bigeminy ?T wave sensing 4 Comment: One cannot be absolutely sure that there were no retrograde P waves at the time of