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It's the ECG's that george rejects that makes George's ECG's the best.
Two Rhythms of Indubitably Ventricular Origin
Report: Pacemaker rhythm VEBs Ventricular fibrillation CPR artefact (end of bottom strip) Comment: It has been said (the actual reference eludes me) that the only two rhythms of electrocardiographically certain ventricular origin are ventricular fib
Movement Artefact
ReportSinus tachycardia 141/min Borderline left atrial abnormality (LAA) Counterclockwise rotation (early transition) Non-specific ST/T changes Movement artefact in standard leads CommentThe artefact in Lead 1 mimics a dimorphic couplet of VEBs, and
CPR: Staring at the Monitor
Report: Ventricular fibrillation Sinus rhythm (post-cardioversion) Third degree AV block - ventricular asystole CPR artefact Comment: Nothing happened for over 7 seconds, the staff looking at the monitor. Closed chest compression should resume a lit
Age Hysteresis in Thump Cardioversion
Report: Sinus tachycardia 120/min Ventricular tachycardia, polymorphous, non-sustained, 258/min (top) & variable rate SVEB Thump artefact (marked) Comment: The demonstration was deemed quite successful, until the monitor recording came out in print. T
Flecainide: From AF to Ventricular Tachycardia
Report: Atrial fibrillation with rapid ventricular response Ventricular tachycardia 214/min Respiratory artefact Comment: This is one of the best examples of proarrhythmia I have ever seen. There is something ironic in the meticulous recording of the
Acute Anteroseptal Infarction
Report:Sinus rhythm 72/min Acute anteroseptal infarction Leads V1 and V3 transposed Comment:The biphasic P wave in the displaced V1 indicates that the lead is in correct position (on the patient). There are new Q waves in V1 and V2, with ST segment ele
Coronary Spasm in Septic Shock
Report:Top strip: Sinus tachycardia 117/min Strips 2-5: Sinus rhythm 53/min (2nd strip) – 61/min (bottom) 1o and progressive 2o AV block Junctional escape beats Markes ST segment elevation consistent with acute infarction or ischæmia Comment:In thi
Parkinson’s Disease & AF
Report: Atrial fibrillation Nonspecific ST/T changes Somatic tremor Comment: The patient had severe, disabling parkinsonism. Atrial activity is difficult to make out, but the irregularly irregular ventricular rate points to atrial fibrillation. Presen
Rhythm Strip Bump: P Wave or Artefact?
Report: Sinus bradycardia 25/min Junctional escape beats Escape-capture bigeminy Right axis deviation Right bundle branch block Old anteroseptal infarction Lateral infarction or ischæmia Possible right ventricular hypertrophy Comment: Congenital h
Adenosine-Induced Autogain102
Report: Atrial flutter 320/min with 2:1 block Ventricular standstill (third strip) Continued atrial flutter Escape complexes of unknown origin Resumed 2:1 conduction of flutter (last two strips) Comment: At first the recording looks like the rare but