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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
Bigeminal Ventricular Tachycardia
Report: Monomorphic ventricular tachycardia 90 – 110/min Alternating cycle length, with bigeminy Retrograde conduction, 1:1 Probable old anterior infarction Comment: Most of the rate variation is in the long cycles. The basic mechanism is probably 3:
Slow Ventricular Tachycardia
Report:Ventricular tachycardia 120/min Comment:The morphology in V1, with dominant left rabbit ear in a monophasic R complex, and of positive precordial concordance, is practically diagnostic of ventricular ectopic origin. This tracing is of interest be
VT: R in V1: Sharp Upstroke and Slurred Descent
Report:Ventricular tachycardia 186/min Comment:The qR in V1 (and V2) has a sharp ascent and slower descent, an equivalent of the rabbit-ear sign of VT112. In the frontal plane, the QRS axis is in no-man’s land at about +260o. There is little reason to do
AV Dissociation in VT
Report: Sinus tachycardia 127/min Left atrial abnormality (LAA) First degree AV block (PR 0.22”) Axis -100o (Northwest, no-man’s land, “nonsense” axis) Probable left anterior hemiblock Right bundle branch block VEB, probably fusion beat (5th in V1)
Sudden Death During Holter Monitoring
Report:Top: Sinus rhythm Dimorphic VEB couplet Middle: Deepening T wave inversion VEB R-on-T VEB following post-ectopic pause Ventricular tachycardia 187/min following R-on-T VEB Bottom (after carotid sinus massage): Ventricular tachycardia 212
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 Ventricular Tachycardia
Report: Ventricular tachycardia 168/min Comment: Some would say that the precordial pattern is that of negative concordance. A purist would point out that there are small R waves in V2 or V6; the complexes are not all completely negative. This fortunatel
R-on-P Phenomena
Report:Sinus rhythm Runs of ventricular tachycardia R-on-P “phenomenon” Concealed retrograde conduction (top strip, end of VT) Possible ventricular fusion beat (onset of VT in bottom strip) Comment:This patient did well following intubation; no speci
Fusion Beats Starting Runs of VT
Report:Sinus arrhythmia Ventricular tachycardia 132-185/min, non-sustained25 1:1 retrograde conduction Fusion beat Comment: The fusion beat starting the paroxysm of VT is diagnostic of the ventricular origin of the latter. Dressler beats are fusion