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It's the ECG's that george rejects that makes George's ECG's the best.
Interpolation in Alternate Cycles
Report:Sinus rhythm 51/min VEBs, interpolated in alternate cycles Trigeminy Non-specific ST/T changes Comment:The VEBs are typical, with nonsense axis and qR morphology in V1; their concealed retrograde conduction114, prolonging the PR intervals of th
VEBs: Trigeminy & Trigeminy
Report:Sinus arrhythmia Left atrial abnormality (LAA) First degree AV block Atrial ectopic beat (second P wave in the bottom strip) VEBs in trigeminy Concealed retrograde conduction Comment:In the top strip, every third P wave is blocked by a VEB. I
Minuscule VEBs
Report: Sinus rhythm 90/min VEBs, bigeminal and trigeminal Comment: The minuscule VEBs simulate blocked P’ waves except that (i) they either march through sinus P waves (upper strip) or, at times, (ii) create retrograde P waves of their own (lower strip
Fusion VEBs in Trigeminy
Report:Sinus tachycardia VEBs in trigeminy Fusion beats Comment:The degree of fusion varies with the P-VEB interval. With only a minor degree of ventricular contribution to fusion, the late-diastolic VEBs may pass unnoticed or be mistaken for effects o
VEBs: Retrograde Conduction
Report: Sinus rhythm VEBs, trigeminal, uniform Retrograde VA conduction Left atrial abnormality (LAA) Borderline right atrial abnormality (RAA) Probable old posterior infarction Nonspecific ST/T changes Comment: The compensatory pauses are longer t
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
Trigeminal Tachycardia: Alternate Cycle Interpolation
Report: Sinus rhythm 85/min VEBs, interpolated in alternate cycles Trigeminy Comment: The P waves are regular throughout, but the PR intervals alternate, due to interpolation of the VEBs. The LBBB pattern of the VEBs has a characteristically slurred do
Symptomatic Bigeminy Due to Trigeminy
Report: Sinus rhythm 80/min 1 Blocked SVEBs, trigeminal 8 A-sensing ventricular pacing throughout 1 Comment: Not surprisingly, the pacemaker was blamed. It was programmed to pace at 60/min, with a sleep mode of 50/min during night hours. There was no
Unusual Mechanism of Escape-Capture Bigeminy
Report: Sinus rhythm 0.5 SVEBs, blocked, in (atrial) trigeminy 2 AV sequential pacemaker, atrial-sensing (probably DDD) 0.5 Failure to sense SVEBs 4 Atrial-paced escape beats 0.5 Ventricular bigeminy (atrial trigeminy!) 2 Nonspecific T wave changes
Ignored VEBs in Trigeminy
Report:Sinus rhythm 1 VEBs, trigeminal 3 Atrial-sensing, ventricular-pacing electronic pacemaker 7 Comment: This case is similar to No. 86, where the pacemaker leads cannot “recognise” the slowly rising ectopic R wave. Here, however, it follows the P