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It's the ECG's that george rejects that makes George's ECG's the best.
Runs of Anomalous Conduction
Report :WPW syndrome Atrial fibrillation Runs of anomalous conduction (Wolff-Parkinson-White type ‘A’) Borderline small voltage and T wave changes in frontal leads Comment :Syndrome, rather than mere conduction, because of the arrhythmia. The patient
Broad QS Morphology in Standard and Left Precordial Leads
Report :Sinus rhythm VEB, possibly fusion beat Runs of ventricular tachycardia 210 – 150/min Non-specific ST/T changes Probable old anterolateral infarction Comment :All the VT complexes have QS morphology. In the left precordial leads, this absence
Pseudoventricular Tachycardia
Report:Atrial tachycardia 145/min Left bundle branch block Primary ST/T changes consistent with ischæmia Comment:The sole evidence for the ectopic ventricular provenance of the tachycardia resides in the broad R wave in lead V1 (Rosenbaum’s ‘normal’ pa
Non-Sustained Ventricular Tachycardia: Fusion and Narrow Capture Beats
Report:Sinus tachycardia 108/min Runs of ventricular tachycardia 134/min Fusion beats Possible old inferior infarction Nonspecific ST/T changes Comment:The diagnosis of ventricular tachycardia is based on (i) R or qR complexes in V1; (ii) A-V dissoci
Slurred R Ascent in V1: Exception to the Rule
Report:Ventricular tachycardia 168/min Comment:The contour of V1 suggests a rabbit in profile, with overlapping ears – not very helpful. If one, more properly, imagines looking at the rabbit from behind, there is a suggestion of larger right ear – non-co
Accelerated Idioventricular Rhythm
Report:Accelerated idioventricular rhythm 96/min AV dissociation Fusion beat Sinus rhythm 98/min Anterior infarction ?age Comment:This has, at times, been called slow VT. There is no such thing: the term is a contradictio in adjecto. There can be no
Advanced 2o AV Block
Report: Sinus rhythm Progressive first degree AV block (top) VEBs Advanced second degree AV block Comment: The 14 second pause follows the VEB, but the ground had been set even before the first VEB: a single blocked P wave is seen at the end of the
Möbitz 2 Block with Narrow QRS Complexes
Report:Sinus rhythm 90/min Second degree AV block, Möbitz 2 Borderline ST segment depression Comment:This is quite unusual but fulfils perfectly the simplest and most useful definition of Type 2 block: all the PR intervals are the same. Below (F
Jarisch-Bezold Reflex
Report: Atrial fibrillation with slow response Junctional escape beat(s) Comment: There is no observable atrial activity, but the patient had atrial fibrillation since admission. The strips could pass, electrocardiographically, for sinus arrest or a
Atrial Conduction Defect
Report:Sinus rhythm 62/min First degree AV block PR interval 0.24” Marked left atrial abnormality (LAA) Nonspecific ST/T changes Comment:The striking abnormality is her P wave as seen in lead 1. It is widely notched and 0.20” long. It acounts for t