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It's the ECG's that george rejects that makes George's ECG's the best.
Broad-Complex Tachycardia?
Report:Atrial fibrillation with rapid response 186/min Acute inferolateral infarction Comment:The computer and, regrettably, some of the staff pronounced this VT despite some (and by inference, all) complexes being quite thin and the obvious ST segment
Early Repolarisation
Report:Sinus rhythm 58/min Vertical heart position Axis +97o LVH voltage, normal for age ST segment elevation in the inferior leads, c/w early repolarisation Anteroseptal T wave inversion, normal for age Comment:The entire tracing is almost certainl
Acute Inferior Infarct – L Circumflex Occlusion
Report:Sinus tachycardia 112/min Acute inferolateral infarction Comment:This trace has three major criteria favouring left circumflex artery over RCA as the culprit vessel. The reciprocal changes in aVL but not in 1 denote the left circumflex a
Acute Posterior Infarction
Report:Sinus rhythm 80/min ST segment depression c/c MI/ischæmia Probable acute posterior infarction Comment:One can never be completely sure. Marked septal ST depression is a feature of uncommonly observed septal ischæmia or, as a reciprocal change, i
Junctional Rhythm: Acute Anterior Infarction
Report: Junctional rhythm 60/min Right bundle branch block Borderline left axis deviation – 30o Extensive acute anterior infarction Comment: Atrial activity is most apparent in V1, where a spiky positive P wave precedes the QRS by 0.08”. Patients wit
Acute Extensive Anterior Infarction: Junctional Rhythm
Report:Junctional rhythm 47/min Acute extensive anterior infarction Comment:There are some semantic problems here. A single dissociated P wave – very likely sinus – is seen just before the last QRS complex. Should sinus rhythm be reported as well? Other
Coronary Spasm in Septic Shock
Report:Top strip: Sinus tachycardia 117/min Strips 2-5: Sinus rhythm 53/min (2nd strip) – 61/min (bottom) 1o and progressive 2o AV block Junctional escape beats Markes ST segment elevation consistent with acute infarction or ischæmia Comment:In thi
Very Radical Prostatectomy
Report:Sinus tachycardia 134/min ST/T changes c/w infarction/ischæmia Comment:Urology disasters were commonplace when I was young. With better perioperative care and more assertive anæsthetic departments they are no longer a regular feature of hospital
Posterior Infarction or Normal Variant
Report:Sinus rhythm 60/min Probable posterior infarction Comment:This trace is more abnormal than the preceding one, with flat or low-amplitude T waves in the inferolateral leads. However, the heart was normal echocardiographically and on autopsy. The p
Hyperacute Anterior Infarction
Report:Sinus rhythm 70 – 74/min (Hyper)acute anterior infarction Comment:The term hyperacute is frowned at by some, but it does have reasonable economy of expression and definitional specificity in referring to early infarction predominantly manifest as