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It's the ECG's that george rejects that makes George's ECG's the best.
Sudden Ventricular Standstill
Report: Sinus tachycardia 100/min Borderline first degree AV block Left bundle branch block Third degree AV block Ventricular escape beats (bottom) Comment: This is a typical example of AV block in acute anterior infarction: RBBB or LBBB (as here)
Sinus Rhythm Faster Than Itself
Report: Nonparoxysmal junctional tachycardia (NPJT) 98-100/min Sinus rhythm 94-96/min Left atrial abnormality Sinus capture beats AV dissociation with interference Left ventricular hypertrophy with ST/T changes (incomplete LBBB) Comment: Paradoxical
BBBB[!xe "Bilateral bundle branch block (BBBB):LBBB + RBBB" \b \i!]
Report: Sinus rhythm Interpolated junctional (main-stem) extrasystoles[!xe "VEBs:main-stem (bundle of His) extrasystoles" \b \i!] Right bundle branch block[!xe "Right bundle branch block:LBBB" \b \i!] Left bundle branch block[!xe "Left bundle branc
VEBs: Concealed Retrograde Conduction
Report: Sinus rhythm Left atrial abnormality VEBs, uniform; couplets[!xe "VEBs:concealed conduction:couplets" \b \i!][!xe "VEBs:couplets" \b \i!] Concealed retrograde conduction Comment: Despite a slight sinus arrhythmia it is possible to map out
SVEBs in Bigeminy or 2:1 AV Block?
Report: Sinus rhythm 72/min Second degree AV block, 2:1 Ventriculophasic sinus arrhythmia Left bundle branch block Comment: The ventriculophasic effect is so marked that one cannot be completely certain that the atrial complexes at the end of T wa
Möbitz 2 AV Block
Report: Sinus rhythm Advanced second degree AV block, Möbitz 2 Ventricular pacemaker Intermittent failure to xsense Intraventricular conduction defect, unspecified Comment: The pacemaker was stopped after the first beat in the upper strip, turned o
Respiratory & Ventriculophasic Sinus Arrhythmia
Report: Sinus rhythm Respiratory sinus arrhythmia Ventriculophasic sinus arrhythmia Second degree AV block, Möbitz 1 Period of 2:1 conduction + one 5:4 cycle LVH with ST/T changes ± digoxin effect Comment: The ventriculophasic effect – P-P intervals
Interpolated VEBs in Advanced AV Block
Report: Sinus tachycardia 108/min Second degree, advanced (4:1, 3:1) AV block VEBs, multiform, interpolated Left bundle branch block Comment: The ætiology of the block remained unknown; it could have been due to polyarteritis nodosa through its asso
Notched P Wave
Report: Sinus rhythm Left atrial abnormality (LAA) Widely notched P wave Sino-atrial exit block Probable atrial infarction Comment: The wide P wave (0.18”) is produced by an atrial conduction defect, usually involving the interatrial tract (Bachm
Rigor Mortis!
Report: Asystole. Comment: This is one of several dead patients’ ECGs I encountered during my three years in the United States. Presumably it’s their passion for ‘documentation’ that leads (some) Americans to take ECGs on (some) cadavers, maybe tho