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It's the ECG's that george rejects that makes George's ECG's the best.
P Congenitale
Report: Sinus rhythm First degree AV block PR 0.22” Right atrial abnormality P height 5 mm in lead 2 P wave height > 1.5 mm in V1 P congenitale P1 > P3 & P > 2.5 mm in a limb lead Right axis deviation +230o Probable right ventricular hypertrophy
Duchenne Muscular Dystrophy
Report:Sinus tachycardia 135/min Left atrial abnormality Posterolateral infarction pattern c/c muscular dystrophy Comment:The pattern of fully developed Duchenne dystrophy is very characteristic, reflecting the posterolateral scarring of the left ventr
Pulmonary Embolism: McGinn-White Pattern
Report: Sinus rhythm 90/min Right axis deviation +110o S1Q3T3 (McGinn-White) pattern consistent with acute cor pulmonale qR V1 and anteroseptal ST/T changes consistent with right ventricular "strain" Comment: The q in V1 may be a sign of right atrial
Mitral Stenosis?
Report: Sinus rhythm Left atrial abnormality P axis –30o Right axis deviation +120o Incomplete right bundle branch block QRS 0.10” Comment: The trace suggests mitral stenosis. The LAA (true P mitrale in this case) is marked, both as increased P-term
Pericarditis
Report:Sinus rhythm 67/min First degree AV block PR interval 0.22” ST segment elevation c/c pericarditis Comment:The features favouring pericarditis are ST elevation in both the frontal and the precordial leads, involvement of V6 and normal QRS and T
Acute Non-Embolic Cor Pulmonale
Report: Sinus tachycardia 130/min Normal axis S1Q3T3 (McGinn-White) pattern consistent with acute cor pulmonale RSR’ pattern V1 Precordial T wave inversion consistent with right ventricular strain Comment: The combined features are strongly suggestiv
Holter: Artefact Mime of VT
Report:Sinus rhythm VEBs, multiform, one dimorphic couplet (bottom panel) Movement artefact 295/min, uncertain origin Comment:The “run” in the top panel has an unlikely fast rate of almost 300/min, but it looks scary, especially in a patient fitted wit
Ostium Primum ASD
Report:Sinus tachycardia 137/min (up to 133/min normal for below 4 years) Left axis deviation –60o Possible RVH (5mm R wave in V1 after 6 months of age) Comment:The rR’ in V1 is consistent with but not diagnostic of RVH: it can always be an RSR’ with s
Sotalol Arrhythmias
Report: Sinus rhythm Borderline first degree AV block PR 0.20” VEBs, frequent Runs (3-beat, 5-beat) of multiform ventricular tachycardia Incomplete LBBB Prolonged QT interval Comment: The patient’s torsades (Fig 130a) were treated by MgSO4, then xy
Right Ventricular Pulmonary Œdema
Report: Sinus tachycardia Right axis deviation +95o Incomplete RBBB Clockwise rotation Non-specific ST/T changes, consistent with ischæmia Comment: The repolarisation changes probably reflect the patient’s gross hypoxia on admission. The ECG evolved