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It's the ECG's that george rejects that makes George's ECG's the best.
Sick Sinus Syndrome: Repetitive Atrial Tachycardia
Report:Repetitive atrial tachycardia 180-230/min 5 Atrial and pacemaker escape beats 3 DDD pacemaker pacing at 66/min 2 Comment:This is an atrial tachycardia, with P waves not unlike sinus P waves in the frontal leads; the term SVT, while technically c
Single Failure to Capture
Report:Sinus rhythm 63/min 2 Complete AV dissociation 4 Pacemaker rhythm 80/min 2 Single failure to pace 4 Comment:AV block cannot be accurately diagnosed here: the atrial (sinus) rate is too slow and the ventricular (pacemaker) rate too fast. Just be
VEB and DDD Pacemaker
Report:Sinus rhythm 73/min 1 VEB 3 Atrial-sensing ventricular pacemaker 4 Atrial-paced beat 2 Comment:Universal (DDD) pacemakers can both sense and pace the atria. The pause created by the VEB is terminated by an atrial-paced P wave and ventricular-pa
Wobbly Atrial Lead
Report: Sinus rhythm 86/min throughout 2 First degree AV block (PR 0.28”) 2 Left atrial abnormality (LAA) 1 Pacemaker rhythm (P-sensing) 86/min 2 AV interval 0.16” 2 Probable old inferior and septal infarction 1 Comment:The atrial lead became wobbl
Symptomatic Bigeminy Due to Trigeminy
Report: Sinus rhythm 80/min 1 Blocked SVEBs, trigeminal 8 A-sensing ventricular pacing throughout 1 Comment: Not surprisingly, the pacemaker was blamed. It was programmed to pace at 60/min, with a sleep mode of 50/min during night hours. There was no
Atrial Pacemaker Captures During 2:1 AV Block
Report: Sinus rhythm 0.5 AV sequential (known DDD) pacemaker 0.5 Atrial sensing & pacing 1.0”escape interval 1 AV interval 0.30” atrial-paced beats and one conducted sinus beat 1 Failed ventricular pacing 1 Second degree AV block 2:1 alternate paced
Spike Decay Masking the QRS
Report:Ventricular pacemaker rhythm 65/min 1 Possible battery depletion 2 Intermittent retrograde conduction 4 Sinus rhythm 75/min 1 Probable third degree AV block 2 Comment:The faster sinus rhythm is almost certainly subject to 3o AV block, but the
No Pacing and 2:1 Failure to Sense
Report:Sinus rhythm 55/min 1 Demand pacemaker: failure to pace 2 2:1 failure to sense 5 LVH voltage (SV2 25mm) 0.5 Left atrial abnormality (LAA) 0.5 Old inferior infarct 0.5 Possible old anterior infarct (loss of R height from V2 to V3) 0.5 Commen
End-of-Life Pacemaker Function
Report:Sinus rhythm 75 – 77/min 1 Third degree AV block 2 Pacemaker rhythm 31/min 2 Probable battery depletion 5 Comment:Pacemaker interrogation revealed “end-of-life” battery function, set to bipolar VVI mode at 63/min, but obviously firing at half t
VEBs in Bigeminy
Report: Sinus rhythm 67 – 71/min 1 Ventricular pacemaker 1 VVI mode 4 Ventricular fusion beats 2 VEBs 1 Bigeminal 0.5 Uniform 0.5 Comment: The interesting question is whether the atrial deflections following VEBs are blocked sinus P waves or retrog