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It's the ECG's that george rejects that makes George's ECG's the best.
Retrograde First Degree Ventriculoatrial Block
Report:Junctional rhythm 37/min Retrograde 1o ventriculoatrial (VA) block VA interval 0.28” Right bundle branch block QRS 0.14” Probable old inferoposterolateral infarction Nonspecific ST/T changes Comment:The retrograde P waves are small and narro
3:2 Möbitz 2 AV Block
Report: Sinus tachycardia 106/min Left atrial abnormality (LAA) Möbitz 2 second degree AV block, 3:2 conduction, with bigeminy Indeterminate axis –140o Right bundle branch block Anteroseptal infarction, probably old Comment: In all instances of two
Cherchez le P!
Report: Sinus rhythm Second degree AV block, Möbitz 1 Acute inferior infarction Comment: The title is part Marriott’s famous phrase on how to tackle arrhythmias95; it paraphrases the once even more famous cherchez la femme, now squashed by the po
Concealed Conduction: Atrial Flutter
Report:Sinus rhythm Left atrial abnormality (LAA) Second degree 2:1 AV block Atrial flutter 300/min Third degree AV block Idioventricular escape rhythm 41/min Inferoposterolateral MI, age uncertain, probably old Comment:The (concealed) conduction o
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
AV Block in Inferior Infarction
Report: Top: Sinus rhythm VEB Third degree AV block Junctional escape rhythm 42/min Second strip: Sinus tachycardia 104/min Second degree AV block, 2:1 conduction First degree AV block in conducted beats (PR 0.44”) Third strip: Sinus tachycardi
Agonal Rhythm
Report:Sinus bradycardia ?Shifting pacemaker SVEBs RBBB 3rd degree AV block. Ventricular standstill Comment:Normally, the right atrium is the last part of human heart to stop beating. This is not possible to diagnose from surface electrocardio
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
Let the Sleeping Dog Lie?
Report:Sinus arrhythmia 45 - 68/min Second degree AV block Two blocked P waves Comment:It is disconcerting to see a spontaneous 3.7" pause, but (i) the patient had a recent inferior MI and (ii) remained asymptomatic during similar episodes while aw
Monomorphic Ventricular Tachycardia
Report:Ventricular tachycardia 150/min Comment:In lead V1 the QRS is a monophasic R wave with left rabbit ear taller than the right, with duration just over 0.14”. These features, along with bizarre frontal plane axis, are sufficient to diagnose ventricu