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It's the ECG's that george rejects that makes George's ECG's the best.
Myopericarditis
Report: Sinus rhythm Global T wave inversion c/c infarction/ischæmia Comment: The T waves show deep, if somewhat asymmetrical, inversion. The pain continued and was, at times, severe. Propranolol and nitrates did not help. As the T waves deepened furthe
CVA Simulating Infarction
Report: Sinus rhythm 92/min Probable acute anterior infarction Borderline ST segment elevation in the inferior leads Comment: There are no reciprocal changes and the QT is prolonged, but it could still be an infarct. In the context of proven cerebral h
RVH
Report:Sinus rhythm 70/min Right axis deviation + 130o qRV1 – right ventricular hypertrophy Comment:Most ECGs looking like this would suggest primary pulmonary hypertension, especially in a young woman. The heart has a limited repertoire: this example
Brain-Stem CVA: SA Wenckebach
Report:Sinus rhythm 56 – 100/min Sino-atrial exit block, Möbitz 1 Minor T wave changes Lead V4 missing Comment:At first, seeing the typical grouping with acceleration before the pause, one thinks of AV Wenckebach. But there is no PR interval prolongat
Cabrera 12-Lead Display
Report: Sinus rhythm Non-specific ST/T changes Comment: The display is the “orderly sequence” proposed by Cabrera, representing cardiac electrical activity from left to right (Lead 1 to Lead 3) and then right to left (V1 to V6). This one is a variant
Hypokalæmia: Long QTc or QU
Report:Sinus rhythm 87/min Diffuse ST/T changes Long QT interval 0.48” QTc 0.50” CommentIt is practically impossible to tell QT from QU here. The patient was known, however, to have potassium 1.9 mEq/L, with normal calcium and magnesium. Accordingly,
Left Atrial Abnormality & Three Other Blocks
Report:Sinus rhythm 63/min Left atrial abnormality First degree AV block PR 0.36” Left anterior hemiblock Right bundle branch block LVH voltage RaVL 14 mm Comment:The P wave is 0.16” (4 mm) long in lead 2 and, like the classical P mitrale of old,
Adenosine-Induced Autogain102
Report: Atrial flutter 320/min with 2:1 block Ventricular standstill (third strip) Continued atrial flutter Escape complexes of unknown origin Resumed 2:1 conduction of flutter (last two strips) Comment: At first the recording looks like the rare but
Lead 2 Monitoring
Report: Sinus rhythm P wave axis -30o Probable left ventricular hypertrophy Comment: Lead 2 was once the traditional monitoring lead. This was based on the fact that, if the P waves were - as they usually are - positive in all three standard leads, lea
Parkinson’s Disease & AF
Report: Atrial fibrillation Nonspecific ST/T changes Somatic tremor Comment: The patient had severe, disabling parkinsonism. Atrial activity is difficult to make out, but the irregularly irregular ventricular rate points to atrial fibrillation. Presen