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It's the ECG's that george rejects that makes George's ECG's the best.
First Degree AV Block
Report:Sinus rhythm 72/min First degree AV block (PR 0.42”) VEBs SVEBs, blocked Left axis deviation –60o Old inferior and anterior infarction Junctional escape beats (last and first) QRS complex Comment:There is some variation in the long PR interv
Semiventricular Tachycardia
Report: Sinus tachycardia 100/min VEBs in bigeminy Possible ventricular fusion Left axis deviation (LAD) – 40o LVH with ST/T changes Inferior infarction, probably old Comment: Semiventricular is one of my own neologisms. Foreigners often take greate
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
Tachycardia with Complete & Incomplete LBBB
Report:Atrial flutter with 2:1 AV block. Alternating complete & incomplete LBBB. Primary T wave changes. Comment:This is another form of bidirectional tachycardia. It is also an example of double 2:1 block: one in the AV node (for atrial flutter) and a
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”)
LBBB-Like VT in Patient with RBBB
Report: Ventricular tachycardia 178/min LBBB morphology with left axis deviation Comment: Lead V1 has a broad primary R wave (0.04”), distinguishing the ectopic morphology from LBBB conduction. Also, the patient’s basic conduction is RBBB (shown in Case
First Degree AV Block
Report:Sinus rhythm 72/min First degree AV block (PR 0.42”) VEBs SVEBs, blocked Left axis deviation –60o Old inferior and anterior infarction Junctional escape beats (last and first) QRS complex Comment:There is some variation in the long PR interv
Left Axis Deviation in AV Canal Defect
Report:Sinus rhythm 88/min Left axis deviation –60o Incomplete right bundle branch block Comment:Although morphologically indistinguishable from LAHB, the LAD in AV canal defects has different pathology. One should always suspect ostium primum ASD or o
Left Axis Deviation in WPW Conduction
Report:Sinus arrhythmia 58 – 100/min Left axis deviation –40o Wolff-Parkinson-White conduction, type ‘B’ Comment:Either type ‘A’ or ‘B’ can produce inferior Q waves, usually QS complexes; ‘A’, of course, can mimic posterior infarcts while ‘B’ may resem
Bilateral Bundle Branch Block
Report:Sinus tachycardia 113/min Left anterior hemiblock Right bundle branch block Comment:This is only a bifascicular block – complete right and partial left bundle branch block. The term BBBB is not usually used for this. But if, as here, the patient