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It's the ECG's that george rejects that makes George's ECG's the best.
Fascicular Ventricular Tachycardia & Positive Concordant Precordial Pattern
Report:Ventricular tachycardia 198/min Comment:This VT is usually responsive to verapamil or adenosine; it is sometimes called Belhassen tachycardia, at least by Belhassen himself and his friends and family14. The sinus rhythm trace contains five VEBs w
Fascicular Ventricular Tachycardia
Report:Ventricular tachycardia 141/min Comment:The complexes are between 0.10 and 0.12” in duration (even narrower than in Case 11), with left axis deviation –40o. The morphology is that of incomplete LBBB except for the all-important lead V1, where ther
Fast Ventricular Tachycardia with Visible AV Dissociation
Report: Ventricular tachycardia 214/min AV dissociation Comment: The morphology is somewhat equivocal, V1 showing RR’ complexes with right rabbit ear taller than the left; nevertheless, they are essentially monophasic and over 0.14”, favouring ectopic o
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
Left Bundle Branch Block-Like Ventricular Tachycardia
Report:Ventricular tachycardia 196/min[! XE !] Comment:This is a rapid VT with morphology quite similar to LBBB. The QRS duration is about 0.16”, best measured in the inferior leads. However, in V1, normally the most important diagnostic lead, it looks s
Two Wrongs Making Two Rights!
Report: Sinus tachycardia 110/min Left bundle branch block Left axis deviation Runs of ventricular tachycardia 150 - 160/min AV dissociation Ventricular fusion beats Comment: This is from Schamroth himself: two wrongs sometimes make a right60. The t
Broad-Complex Ventricular Tachycardia
Report:Ventricular tachycardia 163/min Comment:This example would be difficult to assign LBBB- or RBBB-like status in view of the RS complex in V1. Nevertheless, the QRS duration of approximately 0.20” is in excess of 0.16” required for LBBB-like VT, let
Unread Pre-Discharge ECG
Report: Sinus rhythm 58/min Left axis deviation (LAD) - 50o Intraventricular conduction defect (IVCD) Probably LAHB + non-specific conduction delay Possible LVH Giant anteroseptal T wave inversion Prolonged QT interval 0.660” (QTc for 58/min 0.45”)
Left Axis Deviation in LBBB Conduction
Report:Sinus rhythm 72/min Borderline left atrial abnormality (LAA) Left bundle branch block Comment:In LBBB conduction the axis is derived from the entire QRS complex (unlike the situation with normal or RBBB conduction, where only the initial 0.06” a
PAT with Block: LBBB RSR' in V1
Report:Atrial tachycardia 216/min with 2:1 block. LBBB. Comment:The only indisputable part of the computer and the Cardiologist’s reports is tachycardia. The tachycardia could not be sinus tachycardia even if there was a 1:1 conduction: the morphology