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It's the ECG's that george rejects that makes George's ECG's the best.
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
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
Right Ventricular Outflow Tract Tachycardia
Report:Ventricular tachycardia 155/min Possible A-V dissociation Comment:The tachycardia complexes are just under 0.12” in duration and have, in a way, left bundle branch block morphology with marked (+100o) right axis deviation. There appear to be diss
Another RVOT VT: Retrograde 1:1 Conduction
Report:Ventricular tachycardia 168/min Comment:This is a good example where conduction sequences and QRS morphology do not help in making the diagnosis. Each QRS is followed after 0.18” by a sharp upright P wave in V1 consistent with a retrograde P wave;
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
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
Alternating LBBB with Right Axis Deviation
Report:Sinus rhythm 93/min Alternating complete & incomplete left bundle branch block Axis +95o with complete LBBB Indeterminate axis with incomplete LBBB Comment:The basic LBBB morphology is, as always, best seen in lead V1. In the limb leads, both c
Bilateral Bundle Branch Block (BBBB)
Report: Sinus tachycardia 110/min Left atrial abnormality (LAA) Right axis deviation (RAD) +120o Probable left posterior hemiblock Right bundle branch block ST/T changes consistent with infarction/ischaemia Comment: Three years previously, this pati
LBBB with RAD: Acute Inferior Infarction
Report:Sinus rhythm 96-100/min Third degree AV block Junctional escape rhythm 45/min Left bundle branch block Right axis deviation +95o Acute inferior infarction Comment:Three contributors to heart failure are present in this trace: Acute infarction
LBBB with Transient Right Axis Deviation: Ischæmic Cardiomyopathy
Report: Sinus rhythm Right axis deviation (RAD) + 140o Left bundle branch block Comment: The unusual combination of LBBB and RAD is a surprisingly specific marker of congestive cardiomyopathy29. This patient had CABG following an inferolateral MI; subs