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It's the ECG's that george rejects that makes George's ECG's the best.
Thromboembolic Pulmonary Hypertension
Report:Sinus tachycardia 100/min Right axis deviation +100o Right ventricular hypertrophy Comment: The evidence here is qR in V1, RAD and clockwise rotation; P wave is normal. She had a giant RV and died in low-output heart failure, the worst kind.
Hypokalæmia: Large TU Waves
Report: Sinus rhythm Large TU waves consistent with hypokalæmia Comment: Normally, T waves become flat and the U waves increase in amplitude with hypokalæmia; occasionally, T waves remain upright and merge with U waves to produce striking TU waves like
Hyperkalæmia: IVCD
Report:Broad complex rhythm of uncertain origin 68/min. Possible sinoventricular conduction with intraventricular conduction defect. Peaked T waves. Trace suggestive of hyperkalæmia. Comment:The absent P waves, widened QRS and the tall, peaked T waves
Status Asthmaticus
Report: Sinus rhythm Right atrial abnormality ST/T changes consistent with ischæmia or hypoxia Comment: Tachycardia is conspicuous for its absence and is as sinister as was the absence of audible wheezing. The repolarisation changes reflect profound h
LVH & RBBB
Report:Sinus rhythm 78/min Left atrial abnormality Third degree AV block Ventriculophasic sinus arrhythmia Junctional rhythm 42/min Right bundle branch block Left anterior hemiblock Frontal axis – 40o Left ventricular hypertrophy with ST/T changes
PR Segment Shift in Pericarditis
Report: Sinus rhythm 88/min PR segment shift consistent with pericarditis (best seen in leads 1, 2, aVR and V2) Minimal ST elevation 2, 3, aVF Comment: The computer reported minimal ST segment elevation in the inferior leads, but I thought I knew bette
Endocardial Cushion Defect & Biventricular Hypertrophy
Report:Sinus rhythm 63/min First degree AV block PR 0.22” Right atrial abnormality Left anterior hemiblock LAD –65o RSR’ in V1 Biventricular hypertrophy Katz-Wachtel phenomenon: QRS 67 mm in V4 Nonspecific ST/T changes Comment:The interesting f
Romano-Ward Syndrome
Report: Sinus tachycardia 112/min Prolonged QT interval Measured QT = 0.40” Normal QTc for 122/min = 0.335” Actual QTc = [formula missing] = 0.40/0.748 = 0.53" Comment: This is a classical presentation of this uncommon syndrome. The patient was sent t
Short QTc in Diltiezam Overdose
Report:Junctional rhythm 56/min Short QT interval 0.36” QTc 0.35” Lead V2 missing Possible old inferior infarction. Comment:The cause of QT interval shortening is iatrogenic32 hypercalcæmia induced by calcium infusion for diltiezam overdose hypotensi
Isoprenaline in Myocarditis
Report: Sinus tachycardia 102/min (Probable) incomplete RBBB Left anterior hemiblock Marked ST segment elevation Cascade effect Comment: In septal leads there is a gross elevation of the ST segment, which merges into an inverted T wave. This is the c