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It's the ECG's that george rejects that makes George's ECG's the best.
Sino-Atrial Wenckebach
Report:Sinus rhythm Sino-atrial exit block, Möbitz 1 Left atrial abnormality (LAA) AV block, Möbitz 1, incomplete sequences Prolonged QT interval Comment:This is an example of one form of block preventing the full expression of another: the AV nod
Complete AV Block
Report:Third degree AV block Sinus bradycardia 42/min Junctional beats (top strip) Atrial fibrillation Junctional escape rhythm 36/min Pacemaker rhythm 82/min Short QT interval ? digoxin toxicity Comment:The varied atrial activity has no effect on
Ventriculophasic Sinus Arrhythmia
Report:Sinus rhythm. Second degree AV block, Möbitz 1 Ventriculophasic sinus arrhythmia. Phasic aberrant conduction Comment:The “short” complexes are aberrantly conducted sinus beats. The promotion from 2:1 to 3:2 block has produced a long-short cyc
Ventricular Escapes in Wenckebach Pauses
Report: Sinus rhythm Second degree AV block, Möbitz 1 (Wenckebach)[!xe "AV block:second degree:Möbitz 1:ventricular escape beats" \b!] VEBs[!xe "VEBs:escape beats:accelerated, in 2o AV block" \b!] Comment: The VEBs increase the length of Wenckebach p
AF with Regular Response?
Report: Atrial fibrillation Accelerated (idio)junctional rhythm Comment: Verapamil is known to “regularise” the ventricular response to atrial fibrillation. Completely regular rhythm, however, implies AV block and the presence of an escape pacemaker
Pseudoblock: Concealed Extrasystoles
Report: Sinus rhythm & arrhythmia Junctional premature beats Antegrade block in first and third manifest beats (blocked SVEBs) Concealed junctional extrasystole AV pseudoblock Incomplete RBBB Comment: Some junctional (presumably, main-stem, or bundl
Carotid Sinus Massage: 2o AV Block
Report: Sinus rhythm ?Accelerated conduction (PR interval 0.11”) Second degree AV block Comment: The massage was performed in the hope of unmasking WPW conduction, of which there is a soupçon in the initial slurring of the QRS. Instead of broadenin
Failed Pacemaker?
Report: Sinus tachycardia 104 - 124/min First degree AV block[!xe "PR interval:long" \t "See AV block, first degree"!] Second degree AV block, probably Möbitz 2 Third degree AV block Ventricular standstill Junctional escape rhythm, ventricular esca
Unusual Wenckebach Sequences
Report:Sinus arrhythmia Second degree AV block, Möbitz 1 Bradycardia-dependent LBBB (4th beat in the top strip) ? Respiratory artefact ? Bradycardia-dependent incomplete LBBB ? Junctional escape beats with non-phasic aberrant conduction Comment:Th
Over the Top
Report: Sinus rhythm First degree AV block (shortest PR 0.48”)[!xe "AV block:first degree:skipped P waves" \b!] Second degree AV block, Möbitz 1 (Wenckebach) Skipped P waves (over the top conduction)[!xe "P wave:skipped" \b!] Comment: This is quit