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It's the ECG's that george rejects that makes George's ECG's the best.
Electromechanical Association
Report: Probable multifocal atrial tachycardia (MAT) 122/min Vertical heart position Nonspecific T wave changes Movement artefact V2-3 Comment: The earliest ECG sign of emphysema is the shift of P wave axis in the limb leads to beyond +70o. This is
Cor Pulmonale: RVH with RBBB
Pre-Transplant Fibrosing AlveolitisReport:Sinus rhythm. Borderline first degree AV block (PR 0.20"). Right atrial abnormality ? biatrial enlargement. Right axis deviation Right bundle branch block. Right ventricular hypertrophy Comment:The tendency
Global T Wave Inversion
Report: Sinus rhythm Global T wave inversion Lateral ST segment elevation Poor R wave progression Comment: The striking ECG changes bore no relationship to the patient’s symptoms. There was no evidence of infarction. The ECG normalised and, three week
Thyrotoxicosis
Report:Supraventricular tachycardia 215/min Comment:Somewhat unusual first presentation of thyrotoxicosis; not even spectacularly fast. However, following adenosine-induced reversion to sinus rhythm, she remained quite tachycardic (Fig 94a) and thyroid f
Fatal Pulmonary Embolism
Report:Sinus tachycardia 102/min ST/T changes c/c infarction/ischæmia Possible acute cor pulmonale S1T3 pattern Comment:This is a difficult tracing. The modest ST elevation in V1-2 is associated with what looks like reciprocal ST depression in inferol
RBBB With a Difference
Report:Sinus bradycardia Borderline right axis deviation +90o Right bundle branch block V1 – V3 reversed Comment:The RBBB looks strikingly atypical in Lead V1, until one realises that V1 and V3 had been reversed! (Looking at the T wave helps).The trac
Mime of Mitral Stenosis
Report: Sinus rhythm Left atrial abnormality Possible right atrial abnormality Right axis deviation +95o Probable right ventricular hypertrophy (RVH) RAD, Qrs V1 Nonspecific ST/T changes Comment: The patient had restrictive cardiomyopathy of unkn
Long PR & Short QT on Digoxin Therapy
Report:Sinus rhythm 75/min Second degree AV block, Möbitz 1 (Wenckebach) Short QT interval 0.29” QTc 0.32” Diffuse nonspecific ST/T changes Consistent with digoxin effect and toxicity Comment:Hospital may be a dangerous place but I would not send a
RVH in Emphysema
Report:Sinus rhythm 96/min Right axis deviation +170o Right atrial abnormality Right ventricular hypertrophy Poor R wave progression Comment:The QRS axis is bizarrely right, with negative lead 2, and the emphysema QRS complex is characteristically n
Pulmonary Embolism: Global T Inversion
Report: Atrial fibrillation with ventricular response 67/min Right axis deviation +90o S1Q3T3 (McGinn-White) pattern consistent with pulmonary embolism Diffuse T wave inversion Comment: The T waves make the trace unusual; embolism tends to produce sha