Search the collection
It's the ECG's that george rejects that makes George's ECG's the best.
Katz-Wachtel Phenomenon
Report:Sinus rhythm 71/min Axis +100o (normal for 9 years) Katz-Wachtel phenomenon – biventricular hypertrophy Comment:QR in V1 strongly suggests RVH, but the frontal axis, although rightward, remains within normal limits for age. This may be due to th
LVH with ST/T Changes
Report:Sinus bradycardia 49/min Left atrial abnormality Left ventricular hypertrophy with ST/T changes Comment:There are typical repolarisation changes in all the leads; the voltage criteria offer an embarrassment of riches. The LAA is part of LVH cri
Dextrocardia in Situs Inversus Viscerum
Report:Sinus rhythm 92/min Dextrocardia Nonspecific T wave changes Comment:Oddly enough the computer diagnosed “regular rhythm with unusual P axis”, as though negative P wave in L1 is merely “unusual”. It also went the full hog: “anterolateral infarct”
Holter-Monitored Sudden Death
Report:Sinus bradycardia 32/min (12.5 mm/sec recording) Asystole Comment:The patient had a routine Holter “to exclude AF” for a recent occipital CVA and was found dead in his bed. It is not always possible to ascertain whether the death was cardiac or n
Calcium in Electromechanical Dissociation
Report: Supraventricular tachycardia, probably sinus, 180/min Third degree AV block Junctional escape rhythm 26/min Short QT interval consistent with hypercalcæmia Comment: Electromechanical dissociation (EMD) is not an ECG diagnosis. Sometimes the cl
Swinging T Waves
Report:Sinus rhythm. Incomplete RBBB. Respiratory phasic reversal of T wave polarity. Comment:In the right precordial leads, respiratory movement has at times striking effect on the T wave and, less often, the QRS complex itself. This may of clinical i
Tall Cerebral T Waves
Report: Sinus tachycardia Prominent T waves Nonspecific ST segment depression Prolonged QT interval Comment: This question can only mean something in a specific context. The context was one of eventually fatal cerebral œdema associated with (?produced
Quinidine: Long QT Interval
Report: Sinus rhythm 82/min Widespread T wave inversion Prolonged QT interval 0.62” QTc for 82/min = 0.37” Comment: This degree of QT prolongation is unusual. The prolongation is idiosyncratic in susceptible individuals and bears little relation to qu
S1S2S3 Pattern
Report: Sinus rhythm Borderline biatrial abnormality Indeterminate axis 200o S1S2S3 pattern RSR’ V1 Comment: The diagnosis of S1S2S3 pattern requires, strictly speaking, S wave larger than the corresponding R wave in the three standard leads, as in t
Acute Pericarditis
Report: Sinus rhythm Acute pericarditis Comment: The trace is typical Stage I acute pericarditis, with typical ST segment elevation in all the leads except (equally typically) depression aVR and V1112. Day later, there was an episode of atrial fibrilla