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It's the ECG's that george rejects that makes George's ECG's the best.
Beginning of an Endless Loop
Report: Sinus rhythm 79/min 1 VEB 1 Ventricular escape beat, preceded by attempt at atrial pacemaker escape 1 VEBs, dimorphic couplet 1 Retrograde conduction 2 Retrograde P sensing and generating pacemaker tachycardia 103/min 4 Comment: The retrogra
R-on-T Run of Non-sustained VT
Report: Sinus tachycardia 144/min Ventricular tachycardia 280-305/min, 6-beat run (Accelerated) junctional escape beats Comment: There are 8 ectopic beats. At some stage during the short run, retrograde conduction found its way into the atria and reset
Tricuspid Atresia
Report: Atrial pacemaker rhythm 111/min (dual chamber pacemaker) 4 Left axis deviation (LAD) –60o 3 LVH with ST/T changes 3 Comment: A cyanosed child with LAD most likely has tricuspid atresia; in one large series LAD was present in 87% of those wit
Atrial Tachycardia with LBBB Aberrancy
Report: Sinus rhythm SVEB (first beat) 4-beat run of atrial tachycardia Left bundle branch block aberrancy Comment: The first beat of the tachycardia is normally conducted, the other three are conducted with LBBB. While the initiating beat is atrial
Atrial-Sensing Pacemaker in AF
Report: Atrial flutter/fibrillation 2 Dual-chamber pacemaker 3 Tachycardia up to 129/min due to atrial (over)sensing 5 Comment: The pacemaker is programmed to follow – up to a set upper rate limit – atrial activity. This is really meant for sinus rhyth
Pacemaker Rhythm and LBBB
Report: Electronic demand pacemaker rhythm 70/min 2 Atrial fibrillation 2 Left bundle branch block (last 3 beats) 6 Comment: If it were not for the rhythm strip, few would notice the transition from pacemaker to supraventricular rhythm at the end of th
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 cimetidin
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. T
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-Q