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It's the ECG's that george rejects that makes George's ECG's the best.
Empty Wenckebach Pauses
Report: Sinus rhythm SVEB (second QRS, bottom strip) Second degree AV block, Möbitz 1 Junctional beats, non-conducted ?Reentry beats of sinus origin Atrial fusion beats, non-conducted Comment: In the upper strips, the Wenckebach sequences are termin
Unfinished Wenckebach
Report:Sinus rhythm 76/min Wenckebach phenomenon Atrial trigeminy, possible reentry beats of sinus origin, blocked Frequent VEBs, uniform Positive concordant precordial pattern Left atrial abnormality (LAA) Left anterior hemiblock (frontal axis –60o
Ventricular Tachycardia in a Patient with Permanent Pacemaker
Report: Ventricular tachycardia 154/min ?Retrograde VA conduction Comment: The QRS is a monophasic R wave in V1, just over 0.16” long: both the morphology and the QRS duration support the diagnosis of VT. The duration criterion is > 0.14” for V1 positiv
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
Slow Ventricular Tachycardia
Report:Ventricular tachycardia 120/min Comment:The morphology in V1, with dominant left rabbit ear in a monophasic R complex, and of positive precordial concordance, is practically diagnostic of ventricular ectopic origin. This tracing is of interest be
LBBB-like Ventricular Tachycardia
Report: Ventricular tachycardia 168/min Comment: Some would say that the precordial pattern is that of negative concordance. A purist would point out that there are small R waves in V2 or V6; the complexes are not all completely negative. This fortunatel
Positively Concordant Trigeminy
Report: Sinus tachycardia 130/min VEBs in trigeminy Left atrial abnormality Minor T wave changes Comment: The VEBs are monophasic R complexes from V1 through V6. This is diagnostic of ventricular ectopic origin. A regular run of such beats, however, w
Masquerading Bundle Branch Block: Positive Concordant Precordial Pattern
Report:Atrial fibrillation with rapid ventricular response Left anterior hemiblock Right bundle branch block Masquerading (standard + precordial) bundle branch block Anterior infarction, probably old Comment:This is a case of RBBB with high-grade LAH
WPW ‘A’ in AF: Positive Concordant Precordial Pattern
Report:Atrial fibrillation with (very) rapid ventricular response. Anomalous conduction (WPW type ‘A’) Wolff-Parkinson-White Syndrome Comment:The rate approaches 300/min but is obviously irregular. The trace is pathognomonic of WPW. The positive concor
Axis Illusion
Report: Sinus rhythm VEBs, frequent, multiform Bigeminy Concordant precordial pattern Ventricular tachycardia 120/min (4 beats at the onset of recording) Possible bidirectional ventricular tachycardia Comment: The two beats with marked superior (lef