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It's the ECG's that george rejects that makes George's ECG's the best.
RVH in Single Ventricle Transposition with Pulmonary Stenosis
Report:Sinus rhythm approx 125/min (less than 132/min normal for 3 years) Third degree AV block Junctional rhythm 66/min Right atrial abnormality (P congenitale pattern) Right ventricular hypertrophy Comment:The congenital defects in the title above
Hyperkalæmia
Report: Sinus rhythm ST/T changes consistent with hyperkalæmia Comment: The T waves are peaked, tall and narrow, tent-shaped with soupçon of a waist – typical of hyperkalæmia. The ST segments are elevated in several leads, reflecting the dialyzable curr
P Wave or T Wave?
Report:Sinus bradycardia 37/min. Left atrial abnormality . First degree AV block. Left bundle branch block Comment:The T wave is peaked and sharply demarcated from the preceding ST segment, mimicking a P' wave. Sequential strips (Fig 224a below) gradu
It’s a Boy: Duchenne Muscular Dystrophy
Report: Sinus tachycardia 144/min Axis +90o Rs in V1 consistent with Erb-Duchenne (pseudohypertrophic) muscular dystrophy[!xe "Duchenne (pseudohypertrophic) muscular dystrophy" \b \i!] Comment: The characteristic feature of Duchenne dystrophy is the do
Pseudoephedrine Carditis
Report: Sinus rhythm 96/min Nonspecific ST/T changes Comment: The definite T wave inversion in multiple leads is consistent with sympathomimetic agents’ toxicity. The tachycardia was already resolving at the time of this recording; the trace normalised
Isoelectric Lead 1
Report: Sinus rhythm Third degree AV block Pacemaker rhythm Reversed arms/legs leads! Comment: Flat Lead 1 is virtually pathognomonic of legs/arms reversal. The P waves also assume retrograde polarity (one is seen in the last cycle in leads 1, 2, 3).
LVH with ST/T Changes and Streptokinase
Report: Sinus rhythm 72/min Borderline left atrial abnormality Borderline left axis deviation –30o Left ventricular hypertrophy with ST/T changes ST/T changes also consistent with ischæmia Intraventricular conduction delay (IVCD) QRS 0.12” Comment:
Hypomagnesæmia Torsades
Report:Sinus rhythm 51/min Prolonged QT interval 0.56” QTc 0.52” Comment:The patient had several admissions with alcohol-related illnesses, all of which featured hypokalæmia, hypomagnesæmia or both, with corresponding repolarisation abnormalities. On t
Idiopathic Hypothermia
Report: Sinus bradycardia 46/min Osborn waves (J waves, hypothermic humps) Prolonged QT interval 0.65” QTc 0.57” Tracing suggests hypothermia. Comment: The temperature was 29oC. The only thing missing is evidence of shivering, seen in approximately 9
Katz-Wachtel Phenomenon
Report:Sinus rhythm 128/min Right atrial abnormality Right ventricular hypertrophy Left ventricular hypertrophy Comment:The voltages are the very large (91mm QRS V4, pure R 12mm V1). Katz-Wachtel phenomenon denotes the large, relatively equiphasic, mi