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It's the ECG's that george rejects that makes George's ECG's the best.
Ventricular Tachycardia: Electrical Alternans
Report:Ventricular tachycardia 153/min Sinus rhythm 86/min Complete A-V dissociation Comment:This is a fairly typical VT, LBBB-like, with slurred V1 downstroke. The diagnosis is strengthened by the obvious A-V dissociation. In lead 2 and V2-3, there i
Bigeminal Ventricular Tachycardia
Report:Ventricular tachycardia 173/min Alternating cycle length Comment:The patient had presyncopal paroxysms of VT, though to be SVT by many because of its relatively narrow QRS. They were even more convinced when, in Casualty, he reverted to sinus rhy
LBBB-Like VT in Patient with RBBB
Report:Ventricular tachycardia 178/min LBBB morphology with right axis deviation Comment:This is, morphologically, right ventricular outflow tract (RVOT) tachycardia, with LBBB and marked right axis deviation (not seen in aberrant conduction8). The morp
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
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.
Retrograde Block in Ventricular Tachycardia
Report:Ventricular tachycardia 118/min 1:1 retrograde conduction (top) Ventricular tachycardia 180/min 2:1 retrograde block (middle) Comment: The retrograde atrial waves are seen as typical sharp upright deflections in MCL1 or V1 (Marriott lead). T
Arrhythmogenic Right Ventricular Dysplasia
Report: Double sensitivity (1mV = 20mm) Sinus rhythm 73/min VEB Right axis deviation (RAD) +110o Right atrial abnormality (RAA) Absolute small voltage (note the 20 mm/mV calibration) Poor R wave progression Nonspecific ST/T changes Epsilon wave &
LBBB-Like VT in Patient with RBBB
Report: Ventricular tachycardia 178/min LBBB morphology with left axis deviation Comment: Lead V1 has a broad primary R wave (0.04”), distinguishing the ectopic morphology from LBBB conduction. Also, the patient’s basic conduction is RBBB (shown in Case