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It's the ECG's that george rejects that makes George's ECG's the best.
Sinus-Junctional Escape-Capture Bigeminy
Report:Sinus rhythm 84/min Borderline left atrial abnormality (LAA) Second degree AV block, unspecified Junctional escape beats Escape-capture bigeminy LVH with ST/T changes Comment:Only every third sinus P wave is conducted, with a PR interval just
Ventricular Standstill in Sinus Tachycardia
Report:Sinus tachycardia 113/min Second degree, mostly 2:1 AV block Complete AV block – ventricular standstill Intraventricular conduction delay (known LBBB) Comment:This is almost certainly Möbitz 2 AV block in view of the associated bundle branch
Wrong Footprints
Report:Sinus rhythm Non-conducted SVEBs Trigeminy Left bundle branch block Comment:Surprising number of staff reported these strips as Wenckebach (Möbitz 1) second degree AV block. The reason may be the memory of Marriott's injunction to "recogn
Slow Junctional Escape in Complete AV Block
Report:Sinus rhythm 90/min Third degree AV block Junctional escape rhythm 19/min Anterior infarction ? incomplete LBBB QT/T wave changes consistent with ischæmia or preceding syncope. Comment:As in the previous case, the escape pacemaker, although a
Dig the Break!
Report: Sinus rhythm 96/min Second degree AV block, 2:1[!xe "AV block:concealed:dig the break" \b!] SVEB[!xe "SVEBs:unmasking 2o AV block" \b!] Left bundle branch block Comment: The blocked alternate P waves are almost completely hidden by the des
Atrial Fibrillation with Complete AV Block
Report:Atrial fibrillation Third degree AV block VEB Junctional escape rhythm 42/min Possible old inferior MI Diffuse ST/T changes Comment:The ventricular rate is completely regular and slow, disturbed only by a single VEB. The VEB looks like LBBB
Alternating Retrograde Conduction in Accelerated Junctional Rhythm
Report:Accelerated junctional rhythm 92/min 2:1 retrograde block Right axis deviation Lateral infarction, acute or recent Borderline small voltage in frontal leads Electrical alternans V1 Comment:One would be tempted to say that this trace is an exa
Sinus Bigeminy
Report: Sinus rhythm 98/min (top) Sino-atrial 3:2 Möbitz 1 exit block?[!xe "Sino-atrial exit block:bigeminy" \b!] Bigeminy[!xe "Bigeminy:sinus" \b!] Comment: The differential diagnosis includes SVEBs in bigeminy (where P’ waves look different to
Echo (Reentry) Beats of Junctional Origin
Report: Top strip: Sinus bradycardia, progressive First degree AV block PR 0.24” Junctional escape beats Retrograde first degree AV block (RP 0.28”) Reentry (echo) beats of junctional origin Antegrade PR interval now 0.20” Incomplete RBBB Bottom
Single Beat ECG
Report:Atrial flutter 180/min Third degree AV block Ventricular escape beat Comment:This looks like an agonal ECG, taken by inertia of the admission “workup” when the patient was already as good as dead. Not so: he was transferred to CCU, where he