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It's the ECG's that george rejects that makes George's ECG's the best.
Narrow VEBs & Trifascicular Block
Report:Sinus rhythm 85/min Second degree AV block, unspecified VEBs in bigeminy Right axis deviation +120o Left posterior hemiblock Right bundle branch block Comment:It’s best to observe the bigeminal VEBs in the rhythm strip: no two are the same.
Advanced 2o AV Block
Report: Top: Sinus rhythm 94/min Bottom: Sinus rhythm 94 – 102/min Advanced second degree AV block Comment: The block is called advanced (high-grade) if less than 50% of P waves are conducted. It would be easier to understand a vagally mediated AV
Verapamil Overdose
Report: Sinus bradycardia 37/min 2:1 second degree AV block 1o AV block in conducted beats Left bundle branch block Primary T wave changes Comment: The lack of sinus tachycardia is very unhealthy in this situation; much of it could be ascribed to v
Neostigmine Toxicity
Report:Sinus rhythm 3:2 sino-atrial exit block Nonspecific T wave changes Comment:The patient was paralysed by vecuronium for a CAT scan after a traffic accident; she was brought back to Casualty and the relaxant was reversed with 5 mg neostigmine
2:1 & Advanced 2o AV Block
Report: Sinus tachycardia 125/min Left atrial abnormality (LAA) Second degree AV block, 2:1 & advanced First degree AV block (PR 0.28”) in conducted beats VEB (ventricular escape beat) Left anterior hemiblock Right bundle branch block, atypical Lef
Bigeminy in Sino-Atrial Exit Block
Report: Sinus rhythm approximately 90/min Left atrial abnormality (LAA) 3:2 Sino-atrial exit block, Möbitz 1 (Wenckebach) Bigeminy Left axis deviation –35o Comment: Bigeminy like this one has to be differentiated from atrial ectopic bigeminy: half
Pacemaker: Escape-Capture Bigeminy
Report:Sinus tachycardia 100/min First degree AV block (PR 0.28") Second degree AV block. Right bundle branch block Pacemaker (escape) beats Escape-capture bigeminy Comment:Before Bradley and Marriott's classical description6, this rhythm was call
3:2 Möbitz 2 AV Block
Report: Sinus tachycardia 106/min Left atrial abnormality (LAA) Möbitz 2 second degree AV block, 3:2 conduction, with bigeminy Indeterminate axis –140o Right bundle branch block Anteroseptal infarction, probably old Comment: In all instances of two
Congenital Heart Block
Report: Respiratory and ventriculophasic sinus arrhythmia Right atrial abnormality (RAA) Left atrial abnormality (LAA) Second degree AV block, unspecified Junctional rhythm 65/min AV dissociation with interference Comment: Congenital heart blocks ar
Long Wenckebach Pauses
Report: Sinus rhythm 56 – 66/min Second degree AV block, Möbitz 1 3:2 conduction with bigeminy Left ventricular hypertrophy voltage Comment: Wenckebach pauses are normally less than two sinus cycles in length. When, as here, they coincide with the s