Search the collection
It's the ECG's that george rejects that makes George's ECG's the best.
Bigeminy and Trigeminy: Atrial Flutter
Report:Atrial flutter 250/min Alternating 4:1 & 2:1 (2:1 + 3:2) conduction, with bigeminy (top) 2:1 + 4:3 conduction, with trigeminy (bottom) Comment:Typical flutter has a basic 2:1 block and a more distal, Wenckebach block; this combination accoun
Bilateral Bundle Branch Block (BBBB)
Report:Sinus rhythm 94/min Advanced (4:1) AV block Left bundle branch block Comment:While it is possible that there exist independent AV nodal block and isolated LBB disease, the block as recorded is more likely an expression of BBBB, viz. perman
First Degree AV Block on Carbamazepine
Report:Sinus rhythm 66/min First degree AV block PR interval 0.48” Normal QRS-T morphology Comment : The patient had hydrocephalus from Dandy Walker abnormality requiring ventriculo-peritoneal shunting and severe epilepsy requiring several dru
Post-Ectopic Sino-Atrial Depression
Report:Sinus rhythm 74/min SVEBs, one RBBB-aberrant Marked post-ectopic SA depression (overdrive suppression) Left bundle branch block Comment:The 7th beat’s P’ distorts the T wave of the preceding sinus beat. The pause containing the SVEB is more t
Pacemaker & Native Escape-Capture Bigeminy
Report:Sinus bradycardia 37/min Junctional & pacemaker escape beats Escape-capture bigeminy Pseudofusion beats Fusion beat Ventricular conduction defect, unspecified Comment:The escape-capture phenomenon depends in this case on sinus bradycardia.
Retrograde First Degree Ventriculoatrial Block
Report:Junctional rhythm 37/min Retrograde 1o ventriculoatrial (VA) block VA interval 0.28” Right bundle branch block QRS 0.14” Probable old inferoposterolateral infarction Nonspecific ST/T changes Comment:The retrograde P waves are small and narro
2:1 AV Block in Bad Company
Report:Sinus rhythm 74/min 2:1 second degree AV block Right axis deviation (RAD) +120o Left posterior hemiblock Right bundle branch block Ventriculophasic sinus arrhythmia Comment:The patient had no history of heart disease and had been on cimetid
AIVR & Quadrigeminal VEBs
Report: Accelerated idioventricular rhythm 90/min (AIVR) Retrograde VA conduction Wenckebach phenomenon VEBs in quadrigeminy Fully compensatory pauses (in the AIVR) Comment: The first impression is that of dissociated sinus rhythm due to variable P
Escape-Capture Bigeminy in AF
Report: Atrial fibrillation High-grade or complete AV block Junctional rhythm 39/min Pacemaker (escape) rhythm Escape-capture bigeminy Left anterior hemiblock (LAHB) Right bundle branch block Anteroseptal infarction, age uncertain ST/T changes con
Dual Conduction and SVT
Report: Sinus rhythm Dual PR interval: 0.14” and 0.30” Comment: The two PR intervals alternated over periods of minutes, finally attracting the attention of the ICU night staff. Unfortunately, no spontaneous change was recorded. In the morning, I g