Search the collection
It's the ECG's that george rejects that makes George's ECG's the best.
Crochetage in ASD
Report:Sinus rhythm Borderline left atrial abnormality Borderline right axis deviation +90o Incomplete right bundle branch block Crochetage in inferior leads suggests ASD Comment:This one did have a fixed split of P2. She was, however, first diagnose
Duchenne Muscular Dystrophy
Report:Sinus tachycardia 135/min Left atrial abnormality Posterolateral infarction pattern c/c muscular dystrophy Comment:The pattern of fully developed Duchenne dystrophy is very characteristic, reflecting the posterolateral scarring of the left ventr
Acute Cor Pulmonale
Report:Sinus tachycardia 113/min S1Q3T3 (McGinn-White) pattern Incomplete right bundle branch block Right precordial T wave inversion & ST segment depression Consistent with acute cor pulmonale Comment:The classical S1Q3T3 (McGinn-White) pattern of s
Rate Hysteresis
Report:Demand pacemaker rhythm 69/min 1 Posterior electrode placement 1 Rate hysteresis 3 Sinus rhythm 53/min 1 Sinus captures 1 AV dissociation with interference 1 Right bundle branch block 1 Possible old anteroseptal infarction 1 Comment:The fou
Physiological Pacing
Report: Pacemaker rhythm 70/min 7 AV sequential pacemaker 2 100% capture 1 Comment: The patient had a DDD (“universal”) pacemaker, now the commonest type implanted1. In this example, both the atria and the ventricles are paced, mimicking the natural s
Alternating Paced and Fusion Beats
Report:Slow atrial or junctional rhythm 38/min 2 Ventricular pacemaker rhythm 79/min 2 Superior electrode placement 2 Fusion in alternate beats 2 Presumptive RBBB 1 ST/T changes of uncertain significance 1 Comment:The narrower (0.12 sec) complexes a
The Commonest Cause of a Pause
Report:Sinus tachycardia 100/min 1 Atrial-sensing ventricular pacemaker rhythm 1 Blocked SVEB 6 Left atrial abnormality (LAA) 1 Right bundle branch block 1 Comment:There is a subtle but definite change in the T wave of the last paced beat before the
Sinus Captures with 1o AV Block
Report:Sinus rhythm approx. 86/min 1 Second degree AV block, unspecified 2 AV pacemaker rhythm 60/min 1 No atrial capture 2 Sinus captures with 1o AV block 2 Left anterior hemiblock + IVCD 1 LVH with ST/T changes 1 Comment:The space between the atr
Retrograde Wenckebach and Reentry
Report:Pacemaker rhythm 92/min 1 Retrograde Wenckebach conduction 4 Wenckebach sequences terminated by reentry (echo) beats of pacemaker origin 4 Non-specific T wave changes 1 Comment:The pacemaker is in its rate-responding mode at 92/min, with Wenck
Agonal Rhythm: Pacemaker Failure?
Report: Agonal (chaotic) rhythm 4 Pacemaker spikes 1 Slow rate 3 Failure to pace 2 Comment: The pacemaker spikes may be slow due to inhibition by the native agonal complexes or because of the battery failure. A 12-lead ECG taken 7 months previously sh