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It's the ECG's that george rejects that makes George's ECG's the best.
Ischæmic Giant T Wave Inversion
Report:Sinus rhythm Borderline first degree AV block PR 0.22” Incomplete left bundle branch block QRS 0.12” Deep T wave inversion consistent with infarction/ischæmia Prolonged QTc 0.52” Comment:The patient had severe multivessel disease, with steno
Complete Chest Lead Reversal
Report:Atrial pacemaker rhythm 78/min Complete chest lead reversal Possible left ventricular hypertrophy Comment:This is a rare variant of lead reversal. It happens when the entire block of V-lead terminals is rotated 180o and inserted into the machine
Tachypnœa
Report: Supraventricular tachycardia, probably sinus, 108/min Respiratory movement artefact 39 - 44/min Comment: The marked respiratory movement virtually invalidates ECG monitoring. The same would happen to pulmonary artery pressure trace. A side benef
WPW ‘A’ Conduction
Report: Sinus rhythm Right axis deviation[!xe "Right axis deviation :WPW" \b!] WPW type ‘A’ conduction Comment:Subjects (rather than patients) with asymptomatic WPW conduction on routine ECG have normal life expectancy; there is no indication to subjec
Erythromycin Torsade de Pointes
Report:Sinus tachycardia 122/min Nonspecific T wave changes Prolonged QT interval Comment:This is one of those tracing where inspection is better than attempts at precise measurement and QTc calculation: there is a clear-cut long ST segment and the T w
Turner’s Syndrome
Report:Sinus rhythm 91/min Right atrial abnormality, P congenitale type Right axis deviation +140o Right ventricular hypertrophy Diffuse T wave changes Comment:Women with Turner’s syndrome have a range of ECG abnormalities, including T wave changes,
Evanescent RVH: LPHB
Report:Atrial fibrillation, aver. Response 100/min Right axis deviation +140o Right bundle branch block QRV1 Right ventricular hypertrophy or left posterior hemiblock Comment:This case illustrates the problem of assigning the origin of RAD. It could
The Good News and the Bad News
Report:Sinus rhythm. LVH voltage. Comment:The bad news is that the patient was thought to have acute myocardial infarction and was given routine streptokinase infusion, resulting in a hæmorrhagic stroke. He was transferred to WVH later for rehabilitatio
Agonal Rhythm
Report: Atrial standstill VEBs (ventricular escape beats) Ventricular tachycardia 110/min Comment: Despite its irregular rate, the broad complex tachycardia is unlikely to represent ventricular response to atrial fibrillation. The agonal rhythm is usua
An Unusual Agonal Alternans
Report: Sinus bradycardia 46/min First degree AV block PR 0.64” Second degree AV block, 3:2 then 2:1 Left atrial abnormality Left bundle branch block QRS 0.42” T wave alternans Comment: The T wave is unaccountably flattened in alternate cycles, pe