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It's the ECG's that george rejects that makes George's ECG's the best.
Escape-Capture Bigeminy in AF
Report: Atrial fibrillation High-grade or complete AV block Junctional rhythm 39/min Pacemaker (escape) rhythm Escape-capture bigeminy Left anterior hemiblock (LAHB) Right bundle branch block Anteroseptal infarction, age uncertain ST/T changes con
Jarisch-Bezold Reflex
Report: Atrial fibrillation with slow response Junctional escape beat(s) Comment: There is no observable atrial activity, but the patient had atrial fibrillation since admission. The strips could pass, electrocardiographically, for sinus arrest or a
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
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
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
Complete Heart Block in Atrial Fibrillation
Report:Atrial fibrillation Third degree AV block Junctional escape rhythm 44/min LVH with ST/T changes ? incomplete LBBB Comment:At times there is a suggestion of flutter-like organised atrial activity, but the baseline is too variable for flutter.
Xylocaine Reflex
Report: Top & middle: Atrial fibrillation Rate-dependent left bundle branch block VEB Bottom: Sinus rhythm SVEBs with LBBB aberration Comment: This is a fine example of xylocaine reflex, compounded by two 200 Joule shocks! There was no need for it:
Precordial Masquerading Bundle Branch Block
Report :Atrial fibrillation with rapid ventricular response 138/min Northwest axis +260o Right bundle branch block (Probable) left anterior hemiblock Possible old anterior myocardial infarction Nonspecific ST/T changes Positive concordant precordial
Killip-Gault Rule and Exception
Report: Sinus rhythm and arrhythmia SVEBs 9 beat run of (probable) atrial fibrillation Rate-dependent bundle branch block, probably LBBB Comment: This is Lead 2 and one cannot tell with certainty that the IVCD is, specifically, LBBB. It looks like it,
Runs of Anomalous Conduction
Report :WPW syndrome Atrial fibrillation Runs of anomalous conduction (Wolff-Parkinson-White type ‘A’) Borderline small voltage and T wave changes in frontal leads Comment :Syndrome, rather than mere conduction, because of the arrhythmia. The patient