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It's the ECG's that george rejects that makes George's ECG's the best.
Six Minutes of Multiform Ventricular Tachycardia
Report: Atrial fibrillation with ventricular response 80 – 135/min VEB Ventricular tachycardia, multiform, sustained, 180 – 220/min Atrial fibrillation with slow response 37 – 44/min following VT Comment: This was a repeat Holter study, concerned with
Holter Ischæmia
Report:Top: Sinus tachycardia 105/min SVEB ST/T changes suggestive of ischæmia Middle: Sinus rhythm 80/min Resolving ST/T changes Bottom: Sinus rhythm 66/min Isoelectric ST segments Comment:This is a good example of spontaneous ischæmia (at 3.30
Poor (Man’s Exercise) Test
Report:Sinus rhythm 56 – 66/min VEB SVEBs, blocked Post-ectopic T wave inversion Comment:The Holter strips are a continuous recording. Post-VEB beat (top strip) has inverted T wave – what some call a post-extrasystolic repolarisation change. Similar
Tape Speed Artefact
Report: Normal sinus rhythm Speed artefact Comment: Speeding up the tape has the same effect on the trace as slowing down the paper speed during a recording. The Cardiologist operating the Holter did this deliberately for my benefit, in 1976. I was take
Sudden Death During Holter Monitoring
Aortic StenosisReport: Top: Sinus tachycardia 112/min VEBs, frequent, multiform, some in couplets Second strip: Sinus arrhythmia 100 - 64/min Marked ST segment depression consistent with ischæmia Third strip: Sinus arrest Junctional escape rhythm
Holter: Artefact Mime of VT
Report:Sinus rhythm VEBs, multiform, one dimorphic couplet (bottom panel) Movement artefact 295/min, uncertain origin Comment:The “run” in the top panel has an unlikely fast rate of almost 300/min, but it looks scary, especially in a patient fitted wit
Holter-Monitored Sudden Death
Report:Sinus bradycardia 32/min (12.5 mm/sec recording) Asystole Comment:The patient had a routine Holter “to exclude AF” for a recent occipital CVA and was found dead in his bed. It is not always possible to ascertain whether the death was cardiac or n
Torsade Artefact
Report:Sinus rhythm 82 – 88/min VEBs, one couplet Movement artefact lower panel Comment:For some reason, the (signed) report included “1 episode of torsades” (Fig 90a). This is a gross error, given that normal QRS complexes can be mapped out through th
Holter Tape Stretch
Report:Sinus rhythm 68 – 70/min Paper speed or stretch artefact Comment:Variable, in this case fast, paper speed prolongs all the formed elements of the cardiogram to make them look like the last four complexes in this recording. The prolongation is irr
Rate Hysteresis
Report:Sinus rhythm 1 VEBs, multiform 2 Demand ventricular pacemaker 3 Rate hysteresis 3 Fusion beat (top panel) 1 Comment:The VVI pacemaker takes over after the VEBs; the long cycle it terminates corresponds to a rate 50/min, while the subsequent t