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It's the ECG's that george rejects that makes George's ECG's the best.
Wenckebach AV Block in Sinus Tachycardia
Report: Sinus tachycardia 106/min Right atrial abnormality (RAA) Second degree AV block, Möbitz 1 Up to 0.48” PR Intervals Junctional escape beat (third last QRS) LVH with ST/T changes Comment: The 4:3 and 5:4 Wenckebach cycles seen from beginning
Respiratory & Ventriculophasic Sinus Arrhythmia
Report: Sinus rhythm Respiratory sinus arrhythmia Ventriculophasic sinus arrhythmia Second degree AV block, Möbitz 1 Period of 2:1 conduction + one 5:4 cycle LVH with ST/T changes ± digoxin effect Comment: The ventriculophasic effect – P-P intervals
Notched P Wave
Report: Sinus rhythm Left atrial abnormality (LAA) Widely notched P wave Sino-atrial exit block Probable atrial infarction Comment: The wide P wave (0.18”) is produced by an atrial conduction defect, usually involving the interatrial tract (Bachm
Wenckebach Conduction of Sinus Tachycardia
Report: Sinus tachycardia 116/min SVEB Second degree AV block, Möbitz 1 Comment: Some of the blocked P waves look different in shape from others, due to their position on the preceding T wave. Their timing easily distinguishes them from blocked SVE
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
Heart Transplant: Atrial ‘Parasystole’
Report: Top strip: Sinus rhythm 86/min Short PR interval 0.10” Sinus rhythm (non-conducted) 76 - 78/min Atrial pseudofusion beat (middle of the strip) Bottom strip: Sinus rhythm 89/min Short PR interval 0.10” Sinus rhythm (non-conducted) 89/min C
Pseudoventricular Tachycardia
Report:Atrial tachycardia 145/min Left bundle branch block Primary ST/T changes consistent with ischæmia Comment:The sole evidence for the ectopic ventricular provenance of the tachycardia resides in the broad R wave in lead V1 (Rosenbaum’s ‘normal’ pa
Slow Ventricular Tachycardia
Report:Ventricular tachycardia 120/min Comment:The morphology in V1, with dominant left rabbit ear in a monophasic R complex, and of positive precordial concordance, is practically diagnostic of ventricular ectopic origin. This tracing is of interest be
Small Ectopics
Report:Sinus rhythm. VEBs. Junctional escape beats. AV dissociation. Retrograde conduction (of VEBs). Comment:The small complexes are probably VEBs, although aberrant junctional beats cannot be excluded. A 12-lead ECG would help. Note the mirror-imag
Acute Infarct Pattern in Ventricular Tachycardia
Report: Ventricular tachycardia 120/min Spontaneous termination & onset in the (subsequent) rhythm strip Sinus escape beat Probable anterior infarction Comment: There is little doubt about the acute anterior infarction, despite the bizarre complexes.