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It's the ECG's that george rejects that makes George's ECG's the best.
Gitelman’s Syndrome: Hypokalæmia
Report:Sinus rhythm 85/min Right axis deviation +140o Right bundle branch block Large TU waves c/w hypokalæmia Comment:This is, almost, a P-on-U phenomenon (no pun intended), as Schamroth put it11. The diagnosis can only be made, as reported, in a con
Right Ventricular Hypertrophy: Scleroderma
Report: Sinus rhythm Probable RAA Right axis deviation + 130o qRV1 Right ventricular hypertrophy Comment: The qR morphology of V1 is, by itself, evidence for right atrial enlargement as well as RVH; the prominent monophasic P in V2 supports it and in
Respiratory Artefact
Report: Sinus tachycardia 122/min rSR’ pattern in MCL1 Respiratory artefact Comment: The heat’s position vis à vis the recording MCL1 electrode changes phasically with breathing. Not only the QRS size, but the polarity of the T wave is affected. This m
Nitroglycerin-Induced Giant T Wave Inversion
Report: Sinus rhythm Giant T wave inversion[!xe "T wave:inversion:giant:anginine syncope" \b \i!][!xe "Giant T wave inversion" \t "See T wave" \b \i!] Comment: As in the case of global T wave inversion, it is best to leave the report at that. I came to
Pædiatric Right Ventricular Hypertrophy
Report:Probable flutter 300/min with 2:1 block Right axis deviation Right ventricular hypertrophy Comment:In children with congenital heart disease the abnormal RAD is usually manifest as S1S2S3 morphology. The qR in V1 indicates that it is a true RAD,
Cor Pulmonale: COAD with MAT
Possible Run of MATReport: Sinus tachycardia 118/min Right atrial abnormality SVEBs, one blocked Probable run of multifocal atrial tachycardia (MAT) 170/min Probable LBBB aberrancy Right axis deviation +100o Left ventricular hypertrophy voltage Co
Sinus Tachycardia in Mitral Stenosis
Report:Sinus tachycardia 114/min Left atrial abnormality Comment:The trace is not really suggestive of mitral stenosis. Apart from the obviously increased PTF in V1, the only clue – a weak one - is small R wave in L1. Yet he was one of the most interes
Hypercalcæmia
Report:Sinus rhythm 89/min Short QT interval c/c hypercalcæmia Comment:The actual QT measurement, just over 0.30”, yields a QTc of 0.38” – not a useful tool in a patient with calcium 4.64 mmol/L. Marriott suggest measuring the interval to the apex of th
Shifting Atrial Pacemaker
Report: Sinus rhythm SVEB Shifting atrial pacemaker Right atrial abnormality Right axis deviation + 130o Left ventricular hypertrophy voltage Possible biventricular hypertrophy Nonspecific T wave changes Comment: Obviously, the shifting pacemaker
Right Atrial Abnormality
Report: Sinus tachycardia 130/min Right atrial abnormality 5 mm P wave in Lead 2 P wave axis + 90o Vertical heart position Comment: The inferior ST segment depression (using T-P baseline) may be due, at least in part, to prominent Ta waves, inferred