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It's the ECG's that george rejects that makes George's ECG's the best.
Large Rabbit Ears and Prominent A-V Dissociation with Positive Concordant Precordial Pattern
Report: Sinus rhythm 82/min Ventricular tachycardia 158/min Complete A-V dissociation Left atrial abnormality (LAA) Comment:This title contains three major features of ectopic ventricular tachycardia and is well suited to teaching beginners in electro
Runs of Anomalous Conduction
Report :WPW syndrome Atrial fibrillation Runs of anomalous conduction (Wolff-Parkinson-White type ‘A’) Borderline small voltage and T wave changes in frontal leads Comment :Syndrome, rather than mere conduction, because of the arrhythmia. The patient
Sotalol Sensitivity
Report:Atrial ?junctional bradycardia 42/min VEB Long QTc 0.54” Comment:The first beat is distorted by movement artefact: its repolarisation in L1 and L3 and preserved QRS shape in simultaneous L2 distinguish it from a VEB. The striking abnormality is
Fascicular Ventricular Tachycardia
Report:Ventricular tachycardia 141/min Comment:The complexes are between 0.10 and 0.12” in duration (even narrower than in Case 11), with left axis deviation –40o. The morphology is that of incomplete LBBB except for the all-important lead V1, where ther
Alternate Cycle Antecedent P Waves
Report:Ventricular tachycardia 125/min Probable 2:1 retrograde conduction Comment:The diagnosis of VT is supported by the QRS duration of 0.18”, the indeterminate abnormal axis and the left rabbit ear in V1 being taller than the right. The relatively
Arrhythmogenic Right Ventricular Dysplasia
Report: Ventricular tachycardia 162/min Comment: The patient had dilated right atrium and ventricle, with normal, mildly hypertrophied left ventricle. The coronary arteries were also normal. In Casualty, adenosine 6 + 12 mg, verapamil 2.5 mg, then sotalo
Sotalol Torsades de Pointes
Report: Sinus rhythm 67/min Borderline first degree AV block PR 0.20” VEBs, frequent Runs (3-beat, 5-beat) of multiform ventricular tachycardia Incomplete LBBB Prolonged QT interval Comment: The patient’s torsades (Fig 56a) were treated by MgSO4,
Rapid SVT With RBBB Aberrancy
Report: Broad-complex, probably supraventricular, tachycardia 270/min ?Atrial flutter with 1:1 conduction and RBBB aberrancy Comment: The initial QRS looks normal in all the leads, while the late forces could “pass” for RBBB; the axis appears indetermin
Unread Pre-Discharge ECG
Report: Sinus rhythm 58/min Left axis deviation (LAD) - 50o Intraventricular conduction defect (IVCD) Probably LAHB + non-specific conduction delay Possible LVH Giant anteroseptal T wave inversion Prolonged QT interval 0.660” (QTc for 58/min 0.45”)
Torsade de Pointes
Report: Torsade de pointes ventricular tachycardia 270/min Comment: The patient became understandably restless in the middle of the recording. This is a rare example of 12-lead ECG during torsade de pointes tachycardia. It is immediately apparent (movem