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It's the ECG's that george rejects that makes George's ECG's the best.
Tombstones
Report:Sinus tachycardia 111/min Acute extensive anterior infarction Comment:The ST segment hyperelevtion (“tombstoning”) bodes ill for the patient. This one died within 24 hours, ventilated for cardiogenic shock and resultant multi-organ failure. At a
Inferoposterolateral Infarction
Report:Sinus rhythm 70/min Right axis deviation (RAD) ±180o Inferoposterolateral infarction, age indeterminate Comment:Complete proximal circumflex lesion was stented, with large basal infarction and surprisingly preserved LVEF 50%13. It is not possibl
Discrete Lateral Infarction
Report:Sinus rhythm 53/min Acute (high) lateral infarction Comment:It often the case that in (high) lateral infarctions the most prominent early feature is the reciprocal change in the inferior leads. However, whenever ST segment elevation and depressio
Another Isolated U Wave Inversion
Report:Sinus rhythm 95/min Right atrial abnormality (RAA) Probable LVH with ST/T changes Inverted U waves c/w ischæmia Movement artefact V5. Comment:This patient, with chronic emphysema and hypertension, had an episode of chest pain two years previou
Anterior + Inferior MI
Report: Sinus rhythm Left atrial abnormality (LAA) Borderline first degree AV block Left axis deviation (LAD) – 60o Left anterior hemiblock (LAHB) Incomplete right bundle branch block (RBBB) Extensive acute anterior myocardial infarction Acute infe
Wrong Reason for the Right Report
Report:Sinus tachycardia 128/min Third degree AV block Junctional escape rhythm 38/min Acute inferior and right ventricular infarction (Right-sided V leads as labelled) Atrial infarction Comment:The report followed a previous one, on a preceding ECG
Transient TV1 > TV6 in LGL Conduction
Report:Sinus rhythm 84/min Minor non-specific ST/T changes Early repolarisation, anterior leads Lown-Ganong-Levine conduction PR interval 0.12” Comment:The patient was admitted following several episodes of precordial discomfort and dyspnœa, but no p
Left Main Coronary Artery Pattern
Report:Sinus rhythm 90/min Probable left ventricular hypertrophy ST/T changes c/w infarction/ischæmia Main left coronary artery lesion pattern Comment:The LVH voltage is seen in the frontal leads (R1 + S3 > 26 mm, RaVL > 13 mm) and in RV6 > RV5. LVH p
Exercise Normalising Early Repolarisation
Report:Sinus rhythm 54/min Tall T waves Widespread ST segment elevation Probable early repolarisation normal variant Comment:This is a difficult tracing. Perhaps one should not be too hard on the computer in the preceding case! The fact that ST eleva
S1Q3T3 Pattern
Report:Sinus rhythm 70/min S1Q3T3 pattern Comment:The pattern is the classical McGinn-White one of large pulmonary embolism or acute cor pulmonale of any ætiology. Even lead 3 ST segment elevation seen in this trace occurred in a pulmonary embolism seri