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It's the ECG's that george rejects that makes George's ECG's the best.
Congenital Heart Block
Report: Respiratory and ventriculophasic sinus arrhythmia Right atrial abnormality (RAA) Left atrial abnormality (LAA) Second degree AV block, unspecified Junctional rhythm 65/min AV dissociation with interference Comment: Congenital heart blocks ar
Sinus Rhythm Faster Than Itself
Report: Nonparoxysmal junctional tachycardia (NPJT) 98-100/min Sinus rhythm 94-96/min Left atrial abnormality Sinus capture beats AV dissociation with interference Left ventricular hypertrophy with ST/T changes (incomplete LBBB) Comment: Paradoxical
Atrial Fusion Beats
Report:Sinus rhythm Junctional ? atrial rhythm Shifting (atrial) pacemaker Atrial fusion beats AV dissociation Probable third degree AV block Pacemaker rhythm 63/min Comment:Again, this is a "trick" question, designed to make one look (in vain) f
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
Large Rabbit Ears and Prominent A-V Dissociation with Positive Concordant Precordial Pattern
Report: Sinus rhythm 82/min Ventricular tachycardia 158/min Complete A-V dissociation Left atrial abnormality (LAA) Comment:This title contains three major features of ectopic ventricular tachycardia and is well suited to teaching beginners in electro
Non-Sustained Ventricular Tachycardia: Fusion and Narrow Capture Beats
Report:Sinus tachycardia 108/min Runs of ventricular tachycardia 134/min Fusion beats Possible old inferior infarction Nonspecific ST/T changes Comment:The diagnosis of ventricular tachycardia is based on (i) R or qR complexes in V1; (ii) A-V dissoci
Trigeminy with a Pacemaker
Report:Sinus rhythm 90/min AV block, undefined AV dissociation Pacemaker rhythm 48/min Failure to sense Ventricular fusion beat VEBs, interpolated Sinus capture beats, with first degree AV block Comment:The VEBs are interpolated between the LBBB-l
Idioventricular Rhythm & AV Block
Report: Sinus rhythm 84/min Second degree AV block, Möbitz 1 (Wenckebach) Idioventricular rhythm 43/min AV dissociation Fusion beats (4th beat in the top strip, last in second strip) VEBs, small, possibly also fusion beats (bottom strip) Comment: Du
Sinus Bradycardia & AIVR
Report: Sinus bradycardia 37 - 44/min Second degree AV block(unspecified) First degree AV block Accelerated idioventricular rhythm (AIVR) 57/min AV dissociation with interference ST segment elevation consistent with ischæmia/infarction Comment: This
Rule of Bigeminy: VEBs & SVEBs
Report: Sinus rhythm First degree AV block (PR 0.26”) Right bundle branch block (QRS 0.14”) VEBs SVEBs, junctional Comment: All four SVEBs follow, after one cycle, the VEBs and the last VEB in the bottom strip follows a SVEB, perhaps reflecting the ‘