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It's the ECG's that george rejects that makes George's ECG's the best.
Alternating Retrograde Conduction in Accelerated Junctional Rhythm
Report:Accelerated junctional rhythm 92/min 2:1 retrograde block Right axis deviation Lateral infarction, acute or recent Borderline small voltage in frontal leads Electrical alternans V1 Comment:One would be tempted to say that this trace is an exa
Ventricular Tachycardia: Electrical Alternans
Report:Ventricular tachycardia 153/min Sinus rhythm 86/min Complete A-V dissociation Comment:This is a fairly typical VT, LBBB-like, with slurred V1 downstroke. The diagnosis is strengthened by the obvious A-V dissociation. In lead 2 and V2-3, there i
Bigeminal Ventricular Tachycardia
Report:Ventricular tachycardia 173/min Alternating cycle length Comment:The patient had presyncopal paroxysms of VT, though to be SVT by many because of its relatively narrow QRS. They were even more convinced when, in Casualty, he reverted to sinus rhy
ST/T Alternans: Tricyclic Overdose
Report:Broad complex tachycardia of uncertain origin QRS 0.28” Probable atrial ? sinus tachycardia ST/T alternans Comment: The patient was in coma, but not fitting; in shock, but not circulatory collapse; the QRS was well over 0.16”, but there were as
Alternating Retrograde Conduction in Accelerated Junctional Rhythm
Report:Accelerated junctional rhythm 92/min 2:1 retrograde block Right axis deviation Lateral infarction, acute or recent Borderline small voltage in frontal leads Electrical alternans V1 Comment:One would be tempted to say that this trace is an exa
IVCD & ST/T Alternans: Tricyclic Overdose
Report:Broad complex tachycardia of uncertain origin QRS 0.28” Probable atrial ? sinus tachycardia ST/T alternans Comment: The patient was in coma, but not fitting; in shock, but not circulatory collapse; the QRS was well over 0.16”, but there were as
Inferior MI Reperfusion – Fascicular VT
Report:Ventricular tachycardia 156/min/min Probable inferior infarction Comment:The rhythm was sufficiently irregular for the computer to classify it as AF with borderline IVCD. It becomes more regular, however, just after the middle of the trace and en
Pericardial Tamponade: Electrical Alternans
Report:Sinus tachycardia 111/min Small voltage Electrical alternans Comment:Alternate QRS complexes vary in size, in this case due to the heart swinging in the pericardial sac. There is no mechanical counterpart, but there may be alternation of the hea
Sudden Death During Holter Monitoring
Report: Supraventricular and ventricular bigeminy Prolonged QT interval (0.64”) Multiform, probably torsade de pointes, ventricular tachycardia Comment: This patient was on digoxin and quinidine. The final (and fatal) paroxysm is initiated by a late VE
True Alternans in Cardiac Tamponade
Report:Sinus tachycardia 126 - 132/min Electrical alternans Comment:By definition, there must be no change in rhythm or conduction for alternans to be diagnosed. In this case, the mechanism is the "swinging" of the heart, pendulum-like, within the peric