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It's the ECG's that george rejects that makes George's ECG's the best.
Verapamil Wenckebach
Report: Sinus rhythm Möbitz 1 (Wenckebach) second degree AV block Comment: This is a very low-grade block and the patient is monitored anyway. Nothing needs be done immediately. In the long term, an antihypertensive without AV blocking properties sh
Sinus Captures in Nodal Rhythm
Report: Junctional rhythm 42/min Sinus capture beats AV dissociation with interference Concealed conduction Comment: The sinus captures are only possible after sufficient distance from the preceding QRS complex has rendered the AV node amenable to
Xylocaine Tachycardia
Report:Sinus tachycardia 114/min (middle strip) SVEBs Blocked, in bigeminy (top) Aberrantly conducted, in bigeminy (bottom) Comment: Xylocaine has some atropinic effect and may have facilitated AV conduction, impairing at the same time the intraven
AIVR & Retrograde Conduction
Report: Sinus arrhythmia VEB (second complex in the top strip) Atrial (?junctional) escape complex (9th in the top strip) Accelerated idioventricular rhythm 86-89/min Retrograde conduction Fusion beats Comment: Typically, the retrograde 1:1 conducti
Disappearing P Waves
Report: Sinus rhythm Second degree AV block, Möbitz 1 Comment:The P waves come to be superimposed on T waves as the PR intervals lengthen. Strange to say, this merger of superimposed waves has come to be called fusion by some cardiologists34. The
Aberrant Reentry Beats of Junctional Origin
Report: Sinus bradycardia 36/min (middle & end of bottom strip) Sinus arrest, possibly exit block Junctional escape rhythm Reentry (echo) beats of junctional origin Retrograde first degree VA block 0.26” Antegrade first degree AV block 0.26” Left bu
Sinus Bradycardia
Report:Sinus bradycardia 32/min Short QT interval QTc 0.31” Comment:Marked sinus bradycardia almost always signifies some form of sinoatrial block, often in the setting of sick sinus syndrome. The short QT interval is more interesting. The most like
A Far-Reaching Interpolation
Report:Sinus rhythm. VEBs, frequent, two interpolated. Comment:The concealed retrograde conduction governing the PR interval after an intercalated VEB rarely affects more than one cycle. In the top and middle strips, the first VEB is intercalated
Möbitz 2 Block
Report: Sinus rhythm Second degree AV block, Möbitz 2 Right bundle branch block Comment: The conducted P waves show no increment in their PR intervals prior to the blocked one - a clear-cut case of Möbitz 2 block. Typically, the QRS itself is prolo
Jogger’s Wenckebach
Report:Sinus rhythm Wenckebach (Möbitz 1) second degree AV block, atypical Periods of 2:1 conduction (block) Comment:The patient may well have a mild form congenital heart block, but the progressive angina should call for evaluation of his coronary r