Search the collection
It's the ECG's that george rejects that makes George's ECG's the best.
Torsade Artefact
Report:Sinus rhythm 82 – 88/min VEBs, one couplet Movement artefact lower panel Comment:For some reason, the (signed) report included “1 episode of torsades” (Fig 90a). This is a gross error, given that normal QRS complexes can be mapped out through th
Pulmonary Embolism
Report:Sinus tachycardia 122/min Right axis deviation +110o S1Q3T3 (McGinn-White) pattern Late transition Nonspecific T wave changes Comment:Obese young woman with unexplained BP fluctuations and this ECG does not inspire a long differential diagnosi
RVH: Chronic Cor Pulmonale in COAD
Report:Sinus rhythm 93/min Right axis deviation +110o Right atrial abnormality P axis + 80o Right ventricular hypertrophy Comment:The entire trace is, in fact, in favour of RVH: the RAD and the RAA as much as the qR morphology of V1 and the precordi
LVH Voltage Despite Old Infarctions
Report:Sinus rhythm 92/min PR interval 0.20” LVH voltage (RL1 >20 mm, etc) Old anterior infarction Old inferior infarction Comment:Although the commonest cause of small voltage are large or multiple infarctions, the latter may coexist with large volt
LVH with Right Axis Deviation
Report:Sinus rhythm 86/min Right axis deviation +105o Left atrial abnormality Left ventricular hypertrophy with ST/T changes Probable biventricular hypertrophy Comment:The unusual combination of LVH (RV6 > RV5, LAA and typical repolarisation changes)
Inverted P Wave in Lead 1
Report:Sinus rhythm 97/min Inverted P wave in L1 ?cause P axis +100o Left ventricular hypertrophy voltage Comment: In L1 atrial deflections are biphasic, mostly negative; elsewhere the P wave, while atypical, would pass muster were it not for the L1
Crochetage
Report:Sinus rhythm 91/min SVEBs Right atrial abnormality P > 2mm in V2 Right axis deviation +112o Right ventricular hypertrophy qR V2 + RAD Comment:This is a very interesting case in that her ASD was discovered in the course of a CABG procedure: t
Giant T Wave Inversion
Report: Sinus rhythm Giant T wave inversion Comment: The patient became brain dead soon after the tracing was obtained. The ECG is diagnostic of a cerebral event. The phenomenon of giant T wave inversion is discussed in her (and Case 190’s) case report2
Hypocalcæmia
Report: Sinus rhythm Borderline first degree AV block PR 0.22” Prolonged QT interval QT 0.44”, QTc 0.50” Comment: The long QT is easy to spot because the T waves are relatively prominent from hyperkalæmia. The trace is fairly typical of renal fail
Pericarditis
Report: Sinus rhythm 97/min Diffuse ST segment elevation suggestive of acute pericarditis Comment: The trace in very suggestive of acute pericarditis. The timid report of “inferior wall ischæmia” is preserved for students’ education. It became quite obv