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It's the ECG's that george rejects that makes George's ECG's the best.
Implanted Cardioverter-Defibrillator
Report:Implanted cardioverter-defibrillator (ICD) readout 1 Ventricular tachycardia 152 – 162/min 4 Burst overdrive pacing 190-245/min 4 Sinus rhythm 95/min 1 Comment:The patient had numerous runs of VT which failed to activate the ICD because the ra
Double Coupling
Report:Sinus rhythm 100/min 1 VEBs 1 Ventricular demand pacemaker 3 Apparent intermittent failure to sense 4 Right bundle branch block 1 Comment:The odd thing about the pacemaker’s lack of sensing is that all the paced beats occur after – and seem c
Upper Rate Limit
Report:Sinus tachycardia 120/min 0.5 VEBs, one couplet 1 SVEB 1 AV block, probably complete 1 Atrial-sensing ventricular-pacing pacemaker 1 Pauses due to upper rate limit 120/min 4 Fusion beats 1 Left atrial abnormality (LAA) 0.5 Comment: The pa
Ignored VEBs in Trigeminy
Report:Sinus rhythm 1 VEBs, trigeminal 3 Atrial-sensing, ventricular-pacing electronic pacemaker 7 Comment: This case is similar to No. 86, where the pacemaker leads cannot “recognise” the slowly rising ectopic R wave. Here, however, it follows the P
Slowing Rate with Battery Depletion
Report:Atrial fibrillation 1 Pacemaker rhythm 60/min 2 Possible battery depletion 7 Comment:Battery depletion is usually programmed to manifest itself by slowing to a pre-set rate, in this case 60/min. This patient’s potential problem was in fact dia
Pseudofusion Beats
Report:Atrial pacemaker rhythm 64/min 2 SVEB 3 Pseudofusion beats 4 Nonspecific ST/T changes 1 Comment:The QRS complexes are normal except for the ventricular pacing spikes at their onset. They are not fusion beats – the SVEB is preceded by an atrial
Two Pacemakers, One Pacing
Report:Sinus rhythm 1 Third degree AV block 1 Ventricular pacemaker rhythm 62/min 4 Failed dual pacemaker 59/min 4 Comment: The two pacemakers and the sinus rhythm are completely dissociated from each other. There is no atrial or ventricular capture
Single Lead Dual-Chamber Pacing
Report: Ventricular pacemaker rhythm 90/min (top strip) 2 Atrial pacemaker rhythm 90/min (bottom strip) 2 Switch from ventricular to atrial pacing with decreased output 6 Comment: The report, as written above, appears correct. However, two things are
Holter Monitor: Endless Loop Tachycardia
Report:AV sequential pacemaker rhythm 75/min 1 SVEB, blocked, inhibiting atrial pacemaker 2 Ventricular pacemaker rhythm with 1:1 retrograde conduction 2 Endless loop tachycardia 120/min 3 VEB terminating the endless loop tachycardia 1 AV sequential
Pacemaker or LBBB?
Report:Sinus rhythm 65/min 2 Atrial-sensing ventricular pacemaker 8 Comment:This seems unimpeachable, except for lead V1 having the morphology of LBBB (steep descent, slow ascent) instead of expected right ventricular paced or ectopic beat (slow descent