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It's the ECG's that george rejects that makes George's ECG's the best.
Hyperventilation ST Segment Depression
Report:Sinus arrhythmia 72 -112/min Anteroseptal ST segment depression Comment:One clue that deep breathing may be causing the mid-precordial ST segment depression is the sinus arrhythmia, drifting into a tachycardia range during inspiration. Deep, but
Inferior MI: Reciprocal Changes & Remote Ischæmia
Report:Sinus rhythm 71/min Acute inferior infarction Comment:The reciprocal changes, although minuscule in 1 and very modest in aVL, are spread through all the chest leads. This is now thought to reflect a large infarction rather than separate, remote i
Acute Extensive Anterior Infarction: Regaining R Waves
Report:Sinus rhythm 60/min Acute extensive anterior infarction Comment:Pathological Q waves are present in V2-3 after less than two hours of symptoms, possibly with some negative implications for the short-term outlook. Half an hour later, further ST se
Coronary Artery Dissection
Report:Fig 111: Sinus bradycardia 40/min Left atrial abnormality (LAA) – best seen in lead 2 Left ventricular hypertrophy voltage Fig 111a: Sinus bradycardia 40/min SVEB (last beat) Left atrial abnormality (LAA) First degree AV block Acute extens
Massive ST Segment Elevation in Coronary Spasm
Report:Sinus rhythm 93/min Extensive acute anterior infarction Comment:The elevation settled rapidly and subsequent angiography documented normal coronary arteries. The most likely explanation is spasm, which may have caused near-drowning in the first p
Acute Anteroseptal and Old Inferior Infarction
Report:Sinus rhythm 70/min Left axis deviation – 70o Old inferior infarction & LAHB Acute anteroseptal infarction Comment:The evidence for old inferior MI (known to have occurred 7 years previously) is minute Q wave in the last complex of leads 2 and
Right Ventricular Infarction
Report:Junctional rhythm 44/min Acute inferior infarction Right ventricular infarction Comment:The patient’s shock may well be due to a large infarction, but this is not, electrocardiographically, visible in inferior infarcts unless the reciprocal chan
Inferior MI, VEBs & Persistent Wenckebach
Report:Sinus tachycardia 104/min VEBs, frequent, multiform Second degree AV block, Möbitz 1 (Wenckebach) Late transition Nonspecific intraventricular conduction delay (IVCD) Acute inferior infarction Anterolateral ST/T changes c/w MI/ischæmia Comm
ST Depression Myocardial Infarction
Report:Sinus rhythm 97/min Possible LVH ST segment depression consistent with infarction/ischaemia Comment:This is the worst ECG presentation for acute infarction – worse than T wave inversion or ST segment elevation77. The pattern is, in fact, that of
Reperfusion: Rapid Development of Q Waves
Report:Sinus rhythm 63/min ST/T changes c/w infarction/ischæmia Comment:This is somewhat atypical tracing in that the prominent T waves are narrow-based and pointed, the ST elevation is modest and horizontal and there are no reciprocal changes in the in