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It's the ECG's that george rejects that makes George's ECG's the best.
2:1 AV Block
Report:Sinus tachycardia 112/min 2:1 AV block Comment:The term "advanced" or "high-grade" AV block is used to describe 50% or less conduction. It is not a useful term except for the fact that it is used! Marriott is right in suggesting the term be u
Concealed Conduction: Atrial Flutter
Report:Sinus rhythm Left atrial abnormality (LAA) Second degree 2:1 AV block Atrial flutter 300/min Third degree AV block Idioventricular escape rhythm 41/min Inferoposterolateral MI, age uncertain, probably old Comment:The (concealed) conduction o
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
Atropine Bradycardia
Report: Top: Sinus rhythm 83 - 85/min Second degree AV block Escape-capture bigeminy Ventricular rate 55/min Bottom: Sinus tachycardia 100/min 2:1 AV block Ventricular rate 50/min Comment: In the top strip, a basic 2:1 AV block is modified by th
Fascicular VT With Retrograde 2:1 Block
Report: Ventricular tachycardia 122/min Retrograde 2:1 V-A block “Retrograde 1o VA block (RP 0.24”)” Comment: The tachycardia originates in the posterior-inferior fascicle of the left bundle branch - it looks like atypical RBBB + LAHB. Despite the rel
Alternate Cycle Antecedent P Waves
Report:Ventricular tachycardia 125/min Probable 2:1 retrograde conduction Comment:The diagnosis of VT is supported by the QRS duration of 0.18”, the indeterminate abnormal axis and the left rabbit ear in V1 being taller than the right. The relatively
Bigeminal Ventricular Tachycardia
Report:Ventricular tachycardia 173/min Alternating cycle length Comment:The patient had presyncopal paroxysms of VT, though to be SVT by many because of its relatively narrow QRS. They were even more convinced when, in Casualty, he reverted to sinus rhy
Retrograde Block in Ventricular Tachycardia
Report:Ventricular tachycardia 118/min 1:1 retrograde conduction (top) Ventricular tachycardia 180/min 2:1 retrograde block (middle) Comment: The retrograde atrial waves are seen as typical sharp upright deflections in MCL1 or V1 (Marriott lead). T
Dressler Beats in VT
Report: Ventricular tachycardia 160/min Spontaneous termination Ventricular fusion beats Sinus tachycardia 120/min Comment: The fusion beat during a run of VT is known as Dressler beat12. Note how it is easier to spot fusion beats looking at their r
2:1 AV Block
Report:Sinus tachycardia 112/min 2:1 AV block Comment:The term "advanced" or "high-grade" AV block is used to describe 50% or less conduction. It is not a useful term except for the fact that it is used! Marriott is right in suggesting the term be used