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It's the ECG's that george rejects that makes George's ECG's the best.
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
Shifting Rabbit Ears in VT
Report: Ventricular tachycardia 152/min Possible old anterior infarction Comment: There is a monophasic R, possibly a qR, in V1, with northwest axis in the standard leads and QSs in V5-6. The patient in fact had an old anterior MI (Fig 106a below, in AF
Precordial Masquerading Bundle Branch Block
Report :Atrial fibrillation with rapid ventricular response 138/min Northwest axis +260o Right bundle branch block (Probable) left anterior hemiblock Possible old anterior myocardial infarction Nonspecific ST/T changes Positive concordant precordial
Slurred R Ascent in V1: Exception to the Rule
Report:Ventricular tachycardia 168/min Comment:The contour of V1 suggests a rabbit in profile, with overlapping ears – not very helpful. If one, more properly, imagines looking at the rabbit from behind, there is a suggestion of larger right ear – non-co
VT Cardioversion: From Bad to Worse
Report: Broad complex (QRS 0.14”) tachycardia 204/min Ventricular fibrillation (post 150 Joule DCC) Sinus bradycardia (post 300 Joule DCC) Normal sinus rhythm Comment: The synchronised countershock fell on the terminal QRS complex, well away from the
Northwest Axis of Ventricular Tachycardia
Report: Ventricular tachycardia 167/min Comment: The diagnosis of VT rests on monophasic R wave in V1, rS in V6 and the bizarre, ‘Northwest’ axis in the limb leads. In V1 there is a soupçon of rabbit ears, with the left one taller than the right. In the
Ventricular Tachycardia
Report: Ventricular tachycardia 190/min Comment: There is a monophasic R in V1, QS in V4-6 and nonsense axis in the frontal plane - the trace is virtually diagnostic of VT. One could think of atypical RBBB with anterolateral infarction or WPW with antegr
SVT with Pre-Existing Left Bundle Branch Block
Report:Supraventricular tachycardia 200/min[! XE "Supraventricular tachycardia:LBBB:QRS0.16\"" !] Northwest axis +230o Small voltage in frontal leads Left bundle branch block Comment:This is a difficult trace to diagnose with certainty: the main featu
Ventricular Tachycardia: Pseudo P Waves at Either Complex End
Report:Sinus rhythm 84/min. Ventricular tachycardia 132/min. Complete AV dissociation. Comment:The broad-complex tachycardia has QRS duration 0.20", extreme "Northwest" axis and, best of all, taller left rabbit ear in V1 to declare its ventricular orig
Ventricular Tachycardia: Pre-Existent LBBB with Right Axis Deviation
Report: Ventricular tachycardia 167/min Comment: The diagnosis is based on RV1 morphology and the Northwest axis. In addition, the patient was known to have a pre-existing LBBB with RAD (a marker of congestive cardiomyopathy) shown below (Fig 89a). Lead