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It's the ECG's that george rejects that makes George's ECG's the best.
Narrow VEBs & Trifascicular Block
Report:Sinus rhythm 85/min Second degree AV block, unspecified VEBs in bigeminy Right axis deviation +120o Left posterior hemiblock Right bundle branch block Comment:It’s best to observe the bigeminal VEBs in the rhythm strip: no two are the same.
Alternate-Beat Wenckebach Caused by VEBs
Report:Sinus rhythm 92/min VEBs, couplets and triplets R-on-T phenomenon Wenckebach second degree AV block for alternate P waves Acute or recent inferior infarction Comment:The first two consecutively conducted P waves show slight but definite PR i
Interpolated VEBs in Advanced AV Block
Report: Sinus tachycardia 108/min Second degree, advanced (4:1, 3:1) AV block VEBs, multiform, interpolated Left bundle branch block Comment: The ætiology of the block remained unknown; it could have been due to polyarteritis nodosa through its asso
Advanced AV Block Following VEBs
Report: Sinus rhythm VEBs Triplet of ventricular tachycardia Advanced second degree AV block Comment: The episodes of ventricular standstill all follow the VEBs. The VEBs appear to have retrograde conduction, which may account for sinus rates be
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
Advanced 2o AV Block
Report: Sinus rhythm Progressive first degree AV block (top) VEBs Advanced second degree AV block Comment: The 14 second pause follows the VEB, but the ground had been set even before the first VEB: a single blocked P wave is seen at the end of the
Concealed Extrasystoles & Pseudoblock
Report:Multifocal atrial rhythm VEBs, multiform Fusion beat Second degree AV block, probable pseudoblock Comment:This would have been a multifocal atrial tachycardia (MAT) if the rate was over 100/min. AV block is uncommon in MAT and should be even
A Far-Reaching Interpolation
Report:Sinus rhythm. VEBs, frequent, two interpolated. Comment:The concealed retrograde conduction governing the PR interval after an intercalated VEB rarely affects more than one cycle. In the top and middle strips, the first VEB is intercalated
Three Causes of Pauses & Many Diagnoses
Report:Sinus rhythm 88 - 92/min Left atrial abnormality (LAA) P wave 0.12” SVEB, non-conducted VEBs, late-diastolic Ventricular fusion beat (third last complex in the bottom strip) Junctional escape (top strip) and premature beat (bottom strip), RBB
Concealed and Manifest Retrograde Conduction
Report:Sinus rhythm VEBs, one interpolated Reentry (echo) beat of ventricular origin Borderline left atrial abnormality (LAA) Comment:The ectopic beats are just about 0.14” long, with QR morphology in V1 and monophasic R in standard lead 1. Both, at