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It's the ECG's that george rejects that makes George's ECG's the best.
Physiological Pacing
Report: Pacemaker rhythm 70/min 7 AV sequential pacemaker 2 100% capture 1 Comment: The patient had a DDD (“universal”) pacemaker, now the commonest type implanted1. In this example, both the atria and the ventricles are paced, mimicking the natural s
Un Unusual Morphology
Report:Sequential AV pacemaker (known ICD) rhythm 59/min 2 Composite (? Fusion) QRS morphology 8 Comment: The ventricular complexes start as expected, with an initial slur of myocardial activation lasting approximately 0.08”. The second half of each co
Ectopic Pacemaker
Report:AV pacemaker rhythm 59/min; AV interval 020” (as programmed) 0.5 Displaced ventricular lead 3 Intermittent failure to pace & native QRS conduction at spike-R interval 0.36” 4 Failure to sense (the delayed atrial-paced native QRS) 2 ST/T changes
Unusual Mechanism of Escape-Capture Bigeminy
Report: Sinus rhythm 0.5 SVEBs, blocked, in (atrial) trigeminy 2 AV sequential pacemaker, atrial-sensing (probably DDD) 0.5 Failure to sense SVEBs 4 Atrial-paced escape beats 0.5 Ventricular bigeminy (atrial trigeminy!) 2 Nonspecific T wave changes
Delectable Deductive Diagnosis of RBBB/LPHB
Report: Dual chamber pacemaker rhythm 70/min 2 Frontal plane axis –20o 2 Ventricular fusion complexes throughout 3 Probable underlying right bundle branch block with right axis deviation 3 Comment: I make no apologies for the subcontinental flavour of
Alternating Atrial Transport
Report: AV sequential pacemaker rhythm 78/min 4 Atrial capture in alternate cycles 3 Sinus ? atrial bigeminy in alternate cycles 3 Comment: Nobody would have looked hard at the atrial activity were the alternans not observed on the pressure display.