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It's the ECG's that george rejects that makes George's ECG's the best.
Second Degree AV Block
Report: Sinus rhythm One cycle episode of second degree AV block Comment: The patient kept no diary, but it is safe to presume she was asleep at 4 am. What is one to make of her blocked P waves (there was another, below)? Probably nothing, given tha
Wenckebach AV Block in Sinus Tachycardia
Report: Sinus tachycardia 106/min Right atrial abnormality (RAA) Second degree AV block, Möbitz 1 Up to 0.48” PR Intervals Junctional escape beat (third last QRS) LVH with ST/T changes Comment: The 4:3 and 5:4 Wenckebach cycles seen from beginning
Fascicular Ventricular Tachycardia & Positive Concordant Precordial Pattern
Report:Ventricular tachycardia 198/min Comment:This VT is usually responsive to verapamil or adenosine; it is sometimes called Belhassen tachycardia, at least by Belhassen himself and his friends and family14. The sinus rhythm trace contains five VEBs w
Ventricular Tachycardia : Narrower QRS in VT
Report: Top: Sinus arrhythmia Borderline first degree AV block VEBs Rate-dependent right bundle branch block Bottom: Sinus rhythm Right bundle branch block Ventricular tachycardia 148/min AV dissociation Comment: The tachycardia in the bottom st
Precordial Masquerading Bundle Branch Block
Report :Atrial fibrillation with rapid ventricular response 138/min Northwest axis +260o Right bundle branch block (Probable) left anterior hemiblock Possible old anterior myocardial infarction Nonspecific ST/T changes Positive concordant precordial
Six Minutes of Multiform Ventricular Tachycardia
Report: Atrial fibrillation with ventricular response 80 – 135/min VEB Ventricular tachycardia, multiform, sustained, 180 – 220/min Atrial fibrillation with slow response 37 – 44/min following VT Comment: This was a repeat Holter study, concerned with
Killip-Gault Rule and Exception
Report: Sinus rhythm and arrhythmia SVEBs 9 beat run of (probable) atrial fibrillation Rate-dependent bundle branch block, probably LBBB Comment: This is Lead 2 and one cannot tell with certainty that the IVCD is, specifically, LBBB. It looks like it,
Bigeminal Ventricular Tachycardia
Report: Monomorphic ventricular tachycardia 90 – 110/min Alternating cycle length, with bigeminy Retrograde conduction, 1:1 Probable old anterior infarction Comment: Most of the rate variation is in the long cycles. The basic mechanism is probably 3:
VT or VF?
Report: Supraventricular rhythm, probably sinus with SVEBs R-on-T VEBs Ventricular fibrillation Comment: It is sometimes quite difficult to determine if a very fast ventricular rhythm is multiform VT, perhaps torsades de pointes, of VF. This trace was
Pædiatric SVT
Report: Orthodromic atrioventricular re-entrant tachycardia 333/min Possible flutter with 1:1 conduction Left bundle branch block ?Wolff-Parkinson-White syndrome ( see below) Comment: The rate is very fast, but an infant’s flutter can be much faster s