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It's the ECG's that george rejects that makes George's ECG's the best.
Atropine Bradycardia
Report: Top: Sinus rhythm 83 - 85/min Second degree AV block Escape-capture bigeminy Ventricular rate 55/min Bottom: Sinus tachycardia 100/min 2:1 AV block Ventricular rate 50/min Comment: In the top strip, a basic 2:1 AV block is modified by th
First Degree AV Block
Report:Sinus rhythm 72/min First degree AV block (PR 0.42”) VEBs SVEBs, blocked Left axis deviation –60o Old inferior and anterior infarction Junctional escape beats (last and first) QRS complex Comment:There is some variation in the long PR interv
Classical Wenckebach
Report:Sinus rhythm 82 – 86/min Second degree AV block, Möbitz 1 Left atrial abnormality (LAA) Recent inferior infarction Comment:Most clinically observed Wenckebach periods are in some way atypical; the long ones are so as a rule. The commonest aty
Let the Sleeping Dog Lie?
Report:Sinus arrhythmia 45 - 68/min Second degree AV block Two blocked P waves Comment:It is disconcerting to see a spontaneous 3.7" pause, but (i) the patient had a recent inferior MI and (ii) remained asymptomatic during similar episodes while aw
First Degree AV Block
Report:Sinus rhythm 60/min First degree AV block PR interval 0.62” Indeterminate axis Absolute small voltage Minor T wave changes Comment:The PR interval is considerably longer than the R-P interval, confusing the computer into diagnosing junction
Möbitz 2 AV Block & Right Bundle Branch Block
Report:Sinus rhythm 90/min Second degree AV block, Möbitz 2 Right bundle branch block Borderline left atrial abnormality (LAA) Comment:All the PR intervals, before and after the block, are 0.16”. This is type 2 block, intraventricular: the LBB is bl
Unfinished Wenckebach
Report:Sinus rhythm 76/min Wenckebach phenomenon Atrial trigeminy, possible reentry beats of sinus origin, blocked Frequent VEBs, uniform Positive concordant precordial pattern Left atrial abnormality (LAA) Left anterior hemiblock (frontal axis –60o
Complete AV Block in Shock
Report:Atrial flutter 375/min Complete (3rd degree) AV block Junctional rhythm 65/min Right axis deviation +90o ?LPHB Right bundle branch block Acute inferior and anteroseptal infarction Leads V3-6 probably right-sided: right ventricular infarctio
VEBs in Quadrigeminy
Report:Sinus rhythm 98/min VEBs, one couplet and three triplets (runs of VT) Left atrial abnormality (LAA) Possible old inferior infarction Comment:The VEBs are undoubtedly what they look like, with taller left rabbit ear in an R wave in V1. They grea
VEBs: Trigeminy & Trigeminy
Report:Sinus arrhythmia Left atrial abnormality (LAA) First degree AV block Atrial ectopic beat (second P wave in the bottom strip) VEBs in trigeminy Concealed retrograde conduction Comment:In the top strip, every third P wave is blocked by a VEB. I