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It's the ECG's that george rejects that makes George's ECG's the best.
Verapamil Overdose
Report: Sinus bradycardia 37/min 2:1 second degree AV block 1o AV block in conducted beats Left bundle branch block Primary T wave changes Comment: The lack of sinus tachycardia is very unhealthy in this situation; much of it could be ascribed to v
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
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
SVT with Right Bundle Branch Block Aberrancy
Report:SVT 212/min. Right bundle branch block (RBBB). Right axis deviation +120o probably left posterior hemiblock (LPHB). Comment:The likelihood of aberrancy rests with the rSR’ morphology in lead V1 and the absence of any bizarre features. Verapamil
Ventricular Tachycardia: RV1
Report:Ventricular tachycardia 220/min. Comment:The patient's age and the relatively fast rate must have influenced the first choice of aberrancy in the Casualty report. The "VT with underlying WPW", however, suggests diagnostic skills beyond electrocard
SVT or Verapamil-Responsive VT?
Report:SVT or VT 156/min. Right bundle branch block. Left anterior hemiblock. Comment:The tachycardia has a typical RBBB/LAHB morphology consistent with aberrantly conducted SVT. The rate varies slightly; this has no diagnostic significance. The probl
Verapamil-Sensitive Ventricular Tachycardia
Report: Ventricular tachycardia 152/min Comment: This arrhythmia resisted flecainide, sotalol, digoxin and adenosine; verapamil slowed the rate significantly (Fig 82a) and allowed partial sinus captures, but could not abolish it. The cardioversion was ef
Verapamil Overdose
Report: Sinus bradycardia 37/min 2:1 second degree AV block 1o AV block in conducted beats Left bundle branch block Primary T wave changes Comment: The lack of sinus tachycardia is very unhealthy in this situation; much of it could be ascribed to ver