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It's the ECG's that george rejects that makes George's ECG's the best.
Old Anteroseptal MI & BBBB
Report:Atrial fibrillation with rapid response 160/mi9n Right bundle branch block Left anterior hemiblock Standard masquerading bundle branch block Old anteroseptal infarction Comment:In 1 and aVL the QRS resembles LBBB rather than RBBB, a situation
Acute Anteroseptal Infarction
Report:Sinus rhythm 72/min Acute anteroseptal infarction Leads V1 and V3 transposed Comment:The biphasic P wave in the displaced V1 indicates that the lead is in correct position (on the patient). There are new Q waves in V1 and V2, with ST segment ele
Extensive Acute Anterior Infarction
Report:Sinus rhythm 97 - 100/min VEBs, bigeminal Left axis deviation Extensive (hyper)acute anterior infarction Comment:All the precordial leads, as well as the “lateral” 1 and aVL show ST segment elevation reciprocated by depression in the three infe
Anterior Infarction, LBBB & Its Escape Rhythm
Report:Fig 89: Sinus rhythm 76/min Borderline LAA LVH with ST/T changes Anterior infarction ?age Fig 89a (24 hours later): Sinus rhythm 74/min Alternating complete & incomplete left bundle branch block Primary T wave changes Fig 89b (an hour late
Old Anterior and Acute Inferior Infarction
Report:Sinus rhythm 93/min VEB (fusion beat in V1) Left axis deviation -60o Left anterior hemiblock + intraventricular conduction defect Acute inferior infarction Right ventricular infarction Old anterolateral infarction Comment:The patient had ant
Normal ECG in Critical Triple Vessel Disease
Report:Normal trace Comment:This old (1975 again) trace is remarkable in that its owner had critical triple vessel disease, like the patient in Fig 106b. There were a lot of collaterals. The lesson is obvious.
Old Posterior and New Inferior Infarct
Report:Sinus rhythm 57/min Left axis deviation Posterior infarction, old Recent or acute inferior infarction Comment:Strictly speaking, the report should have said: inferoposterior MI, ?age. The patient had a known posterior infarction and left anter
Right Ventricular Infarction
Report:Accelerated junctional rhythm 95/min SVEBs (two couplets) Absolute small voltage Acute inferior infarction Right ventricular infarction Comment:The repolarisation changes are massive for the size of the remaining QRS complexes and the trace lo
Isolated Atrial Infarction
Report:Sinus rhythm 103/min PR segment elevation c/w atrial infarction Comment:In leads 2, aVF, V5-6 there is definite PR segment elevation indicating atrial infarction or ischæmia. As in the case of right ventricle, thin-walled atria have ischæmia rath
Absolute Small Voltage & Its Commonest Cause
Report:Sinus rhythm 77/min Absolute small voltage Anterior infarction, age indeterminate Comment:This patient, too, had history of a remote infarction; like the previous case, he too could have a ventricular aneurysm. He was asymptomatic and there was