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It's the ECG's that george rejects that makes George's ECG's the best.
Wenckebach AV Block in Marked Sinus Tachycardia
Report: Sinus tachycardia 138/min Second degree AV block, Möbitz 1 Probable acute inferior infarction Comment: It is unwise, generally, to diagnose infarction from rhythm strips, but this one has all three indicative changes of acute infarction: Q
Parallel Slopes
Report: Sinus tachycardia 104/min Intermittent second degree 2:1 AV block, possibly Möbitz 2 Intraventricular conduction defect, unspecified (? lead 2 strip) Comment: The tachycardia makes it very difficult to observe any increments in the PR interva
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
Complete Heart Block: Anterior MI
Report: Sinus tachycardia Third degree AV block Ventricular escape beats and rhythm Comment: The slowing of the sinus rate in the forth and fifth strips was ominous, reflecting sinus node hypoxia or ischæmia. The ventricular escapes were slow and un
2:1 AV Block
Report:Sinus tachycardia 112/min 2:1 AV block Comment:The term "advanced" or "high-grade" AV block is used to describe 50% or less conduction. It is not a useful term except for the fact that it is used! Marriott is right in suggesting the term be u
Isoprenaline Tachycardia
Report: Sinus tachycardia 108/min 2:1 AV block (top) Sinus tachycardia 150/min 2:1 & 3:2 Wenckebach AV block (middle) Sinus tachycardia 165/min (bottom) First degree AV block 1:1 conduction Comment: Isoprenaline helped the bradycardia, but at a pri
Right Ventricular Outflow Tract Tachycardia
Report:Ventricular tachycardia 165/min Irregular Non-sustained Sinus tachycardia 125/min Comment:This is a fairly typical RVOT tachycardia, with marked right axis deviation (inferiorly directed, from the “roof” of the RV) and Rosenbaum pattern in V1 (
Accelerated Idioventricular Rhythm in Complete AV Block
Report: Sinus tachycardia 120/min Accelerated idioventricular rhythm 65/min Third degree AV block Comment: One can confidently diagnose complete AV block when the atrial rate is so much faster than the ventricular, without any captures, the ventricular
Positively Concordant Trigeminy
Report: Sinus tachycardia 130/min VEBs in trigeminy Left atrial abnormality Minor T wave changes Comment: The VEBs are monophasic R complexes from V1 through V6. This is diagnostic of ventricular ectopic origin. A regular run of such beats, however, w
VT: Dressler Beat
Report:Ventricular tachycardia 188/min Termination by ventricular fusion beat (Dressler beat) Sinus tachycardia 120/min Probable inferior infarction Comment:The rhythm strip is not taken simultaneously with the three channels above. This has the advan