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It's the ECG's that george rejects that makes George's ECG's the best.
Spurious ST Segment Elevation
Report: Sinus bradycardia 43/min Left atrial abnormality First degree AV block Escape-capture bigeminy Third degree AV block (mid-second strip onward) Junctional rhythm 64/min Comment: The broad shallow sinus P waves, with their first degree AV bl
Wenckebach Conduction of Sinus Tachycardia
Report: Sinus tachycardia 116/min SVEB Second degree AV block, Möbitz 1 Comment: Some of the blocked P waves look different in shape from others, due to their position on the preceding T wave. Their timing easily distinguishes them from blocked SVE
Interpolated Main-Stem Extrasystoles
Report:Sinus rhythm 80/min Interpolated junctional or bundle of His (main-stem) extrasystoles Allorhythmic triplets Left bundle branch block Primary T wave changes Comment:There is a regular sinus rhythm, even though the initial impression may be
Illusion of Sinus Tachycardia
Report:(Lead 2 sequential rhythm strips) Sinus rhythm approximately 96/min Frequent VEBs, some in triplets or short runs of VT Concealed retrograde conduction Comment:This is a good example of the reciprocal R-P – P-R relationship. Much of the lower
Concealed Retrograde Conduction
Report:Sinus rhythm 65/min VEBs, mostly interpolated Nonspecific ST/T changes Comment:For comparison, the last VEB blocks the ensuing P wave completely, producing a fully compensatory pause. Other VEBs merely prolong the subsequent PR interval, tho
Cherchez le P!
Report: Sinus rhythm Second degree AV block, Möbitz 1 Acute inferior infarction Comment: The title is part Marriott’s famous phrase on how to tackle arrhythmias95; it paraphrases the once even more famous cherchez la femme, now squashed by the po
Sino-Atrial Wenckebach
Report: Sinus rhythm Left atrial abnormality (LAA) 5:4 and 4:3 sino-atrial exit block, Möbitz 1 Normal QRS/T Comment: In each pause, an entire P-QRS-T sequence is missing; the pause itself is less long than two sinus cycles. There is slight accelera
Fascicular Ventricular Tachycardia
Report:Ventricular tachycardia 141/min Comment:The complexes are between 0.10 and 0.12” in duration (even narrower than in Case 11), with left axis deviation –40o. The morphology is that of incomplete LBBB except for the all-important lead V1, where ther
Blocked P Wave Long After a SVEB
Report:Sinus rhythm 79/min First degree AV block PR 0.24” SVEB (Atrial premature beat) Scond degree AV block, unspecified Nonspecific ST/T changes Post-ectopic ST/T changes, postponed Comment:Is it significant that the unexpectedly blocked P wave i
Fascicular VT with 1:1 Retrograde Conduction
Report:Ventricular tachycardia 106/min 1:1 retrograde conduction Comment:This is a very slow VT – well within what some authorities would call AIVR. It is fascicular, with the QRS complex only 0.12” long. Its morphology is that of basic RBBB/LAHB, of kn