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It's the ECG's that george rejects that makes George's ECG's the best.
Xylocaine Tachycardia
Report:Sinus tachycardia 114/min (middle strip) SVEBs Blocked, in bigeminy (top) Aberrantly conducted, in bigeminy (bottom) Comment: Xylocaine has some atropinic effect and may have facilitated AV conduction, impairing at the same time the intraven
Xylocaine & BBBB
Report:Atrial tachycardia, possibly sinus, 174/min 2:1 AV block Left bundle branch block Period of 1:1 conduction Comment:The exact doubling and then halving of the ventricular rate should have steered the CCU staff away from xylocaine. Broad comple
Slurred R Ascent in V1: Exception to the Rule
Report:Ventricular tachycardia 168/min Comment:The contour of V1 suggests a rabbit in profile, with overlapping ears – not very helpful. If one, more properly, imagines looking at the rabbit from behind, there is a suggestion of larger right ear – non-co
Parasystole[!xe "Parasystole" \t "See Ventricular parasystole"!]
Report: Sinus rhythm Ventricular parasystole 41 - 43/min Comment: The diagnostic feature, unrecognised by the xylocaine pushers, is the variable coupling interval and the fixed interectopic one. And the fusion beat. Parasystole is, generally, resistant
VT: Dressler Beat
Report:Ventricular tachycardia 188/min Termination by ventricular fusion beat (Dressler beat) Sinus tachycardia 120/min Probable inferior infarction Comment:The rhythm strip is not taken simultaneously with the three channels above. This has the advan
SVT with LBBB
Report: Supraventricular tachycardia 152/min Left bundle branch block Comment: The rS complexes in lead V1 are perfectly ‘normal’ LBBB complexes in that the initial R wave is narrow, the S downstroke is sharp and the upstroke slurred. The frontal plane
Dangerous WPW Syndrome
Report: Atrial fibrillation Rapid response 240-300/min Anomalous (WPW) conduction, type ‘B’ Comment: If the observed cycle lengths during atrial fibrillation are less than 0.25” (250 milliseconds sounds more ‘learned’ in this context), the patient is
Bigeminal Ventricular Tachycardia
Report: Atrial fibrillation Incomplete left bundle branch block Probable acute lateral infarction Ventricular tachycardia 204/min[!xe "Ventricular tachycardia:bigeminal" \t "See alternating cycle length"!] Alternating cycle length Comment: The diagno
Monomorphic Ventricular Tachycardia: Minuscule V1 Rabbit Ears
Report:Monomorphic ventricular tachycardia 188/min Comment:The monophasic R complex in V1 has two small “rabbit ears”; the left one is mostly taller than the right (looking at the rabbit from behind). This is a classic marker of ventricular ectopic origi
Xylocaine Tachycardia
Report:Sinus tachycardia 114/min (middle strip) SVEBs Blocked, in bigeminy (top) Aberrantly conducted, in bigeminy (bottom) Comment: Xylocaine has some atropinic effect and may have facilitated AV conduction, impairing at the same time the intraventr