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It's the ECG's that george rejects that makes George's ECG's the best.
NSTEMI: Non-ST-Elevation Myocardial Infarction
Report:Sinus rhythm 63/min Diffuse T wave inversion Prolonged QTc 0.49” Comment:The patient’s presentation was “atypical” but, after all, she was a woman35. Diabetics may also have silent infarcts more than any other group, with their autonomic neuropa
Holter Ischæmia
Report:Top: Sinus tachycardia 105/min SVEB ST/T changes suggestive of ischæmia Middle: Sinus rhythm 80/min Resolving ST/T changes Bottom: Sinus rhythm 66/min Isoelectric ST segments Comment:This is a good example of spontaneous ischæmia (at 3.30
Inferior MI Reperfusion – Fascicular VT
Report:Ventricular tachycardia 156/min/min Probable inferior infarction Comment:The rhythm was sufficiently irregular for the computer to classify it as AF with borderline IVCD. It becomes more regular, however, just after the middle of the trace and en
Another Proximal LAD Lesion
Report:Sinus tachycardia 133/min (Hyper)acute anterior infarction Comment:The indicative ST/T changes are in the anteroseptal leads and include lateral leads 1 and aVL. There is also marked reciprocal depression in the inferior leads. These are both sig
Surprising Face of Capnocytophaga canimorsus Septicaemia
Report:Sinus rhythm 90/min Acute anterolateral infarction Comment:The patient had a clinically obvious septic shock. The organism was Capnocytophaga canimorsus, a rare cause of systemic sepsis (dogs’ teeth being cleaner than human) distinguished by its
Inferior Infarction and Left Anterior Hemiblock
Report:Sinus rhythm 78/min Left axis deviation – 72o Left anterior hemiblock Old inferior infarction Clockwise rotation (late transition) Comment:The LAHB is seen as inferior QS waves > 5 mm in depth, lack of secondary R waves in the inferior leads a
Tombstones in V2
Report:Sinus rhythm 80/min Acute anterior infarction Comment:An hour later (below, Fig 92a), following thrombolysis, the ST elevation has almost completely resolved, with encouraging early T wave inversion68.
Short but Thick R Wave in V1: Posterior Infarction
Report:Sinus rhythm 60/min PR interval 0.20” Old inferoposterior infarction Comment:Primary R wave in V1 ≥ 0.04” is as much sign of posterior infarction as R > S configuration. Dominant R in V2-3 – the early transition – of course supports the diagnosi
Ischæmia and Wellens’ Warning
Report:Atrial rhythm 68/min (first 6 beats) Sinus rhythm 54/min (last 5 beats) T wave changes c/w ischæmia Borderline LVH voltage (R2 15mm) Comment:In V1-3 the T waves, even though within normal limits by themselves, appear unduly prominent compared t
Anterior Infarction and Rate-Dependent LBBB
Report:Sinus rhythm 66/min SVEBs, blocked Rate-dependent left bundle branch block Anterior infarction ?age Comment:The pauses created by the non-conducted SVEBs are long, but still not fully compensatory. The complexes terminating the pauses are norma