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It's the ECG's that george rejects that makes George's ECG's the best.
Long QT Interval Post-VF
Report:Sinus rhythm 65/min Right axis deviation +100o Late transition Long QT interval 0.54” QTc 0.56” Nonspecific ST/T changes Comment:She died from cerebral sequelae of her VF arrest; it is reasonable to ascribe the QT prolongation to cerebral inj
Somatic Tremor
Report: Sinus rhythm SVEB Borderline LVH voltage Somatic tremor Comment: Fortunately, the tremor from the limbs cancelled itself in lead 2152. The frequency of the tremor, approximately 5/sec (like atrial flutter), suggests Parkinson’s disease. True f
Hypothermia: Atrial Fibrillation
Report:Atrial fibrillation with ventricular response 70 – 96/min Hypothermic humps (J waves, Osborn waves) and prolonged QTc suggestive of hypothermia[! XE "J wave" \t "See Hypothermia" !][! XE "Osborn wave" \t "See Hypothermia" !] Nonspecific T wave ch
VEA in CVA
Report:Sinus rhythm approx. 65/min Frequent VEBs in couplets, single one interpolated Left bundle branch block QRS 0.14” Comment:The VEBs are narrower in many leads than the LBBB sinus beats; this is not unusual in patients with bundle branch blocks.
Hyperkalæmia
Report: Broad-complex rhythm of uncertain origin, 50/min Indeterminate axis Intraventricular conduction defect QRS 0.18” Repolarisation changes suggestive of hyperkalæmia Comment: The patient’s potassium level was probably over 9.0 mEq/L; the first m
LVH Voltage: RV6 > RV5 and Its Variability
Report:Atrial fibrillation with ventricular response approx. 90/min RSR’ V1 Ashman’s phenomenon Left ventricular hypertrophy voltage Comment:In normal subjects, and even in LVH, the tallest precordial R wave is V5. If it is in V6 – in the absence of a
QT Prolongation: Carbon Monoxide Coma
Report: Sinus rhythm Prolonged QT interval (0.65”)[!xe "QT interval:CO poisoning" \b!] Comment: The cerebral injury is reflected in the large, broad T waves and the associated QT interval prolongation. As a general rule of the thumb, the T waves should
Normal Infant ECG
Report: Sinus rhythm 144/min Axis +110o RsV1 Normal trace Comment: The heart rate of a normal infant between one and three months is 120 to 180/min; the normal range widens over the next three months to 106 – 186/min88. The rest of the trace would pa
A(typical) Uræmic Pericarditis
Report:Sinus rhythm 60/min SVEBs Diffuse ST segment elevation suggestive of pericarditis Comment:This pericarditis ECG is typical, down to PR segment displacement in several leads. The patient also had typical pain and a triphasic rub (which tends to b
Normal Trace
Report: Sinus rhythm Normal axis Semivertical heart position Normal trace Comment: This was a disappointingly normal trace. Note the normal ‘septal’ q wave in lead V6 - the sign of initial left-to-right depolarisation across the septum. I advised the