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It's the ECG's that george rejects that makes George's ECG's the best.
Spurious Pulmonary Embolism
Report: Sinus rhythm Reversed arm leads Left atrial abnormality Borderline T wave changes. Comment: The trace was taken 9 hours after the one in Case 211, presumably because of further chest pain. The interesting thing is, of course, the physician’s r
Tremor Artefact in Neurology Clinic
Report: Sinus rhythm Somatic tremor artefact Comment: When I saw the recording, I wondered why the tremor was most marked in the chest leads. It is usually the standard leads where tremors mime atrial flutter best. The answer was in the timing. The ECG
Histiocytosis X Cor Pulmonale
Report:Sinus tachycardia 102/min Right atrial abnormality Left atrial abnormality Right axis deviation +110o RSR’S’ in V1 Poor R wave progression Right ventricular hypertrophy Comment:Most patients with a trace like this would have emphysema, but c
Katz-Wachtel Phenomenon: TGA
Report:Sinus rhythm 150/min (8 – 30 days: 115 – 190 normal rates) Right atrial abnormality Right ventricular hypertrophy Positive T wave in V1 Probable biventricular hypertrophy Katz-Wachtel phenomenon Comment:The infant had transposition of the gr
Pseudopseudoblock
Report: Sinus tachycardia SVEB (second beat) Non-specific ST/T changes Electrode artefact V4-6. Comment: Isolated non-conducted P wave, without any disturbance of the sinus rate, is what a pseudoblock due to a concealed bundle of His extrasystole woul
LVH Voltage: Mitral Incompetence
Report: Sinus rhythm VEB Left ventricular hypertrophy voltage Comment: The voltage criteria are present in both the frontal and the precordial leads, making a false positive diagnosis of LVH unlikely. In the frontal leads, R wave in Lead 2 is considera
Dextrocardia
Report: Atrial fibrillation Mirror-image dextrocardia Comment: The dextrocardia was an incidental finding in this patient with traumatic subdural hæmatoma. There was no evidence of cardiopulmonary disease apart from AF. The latter could have been trigge
Ebstein’s Anomaly
Report:Sinus rhythm 152/min Right axis deviation +140o Incomplete right bundle branch block Probable right ventricular hypertrophy QRV1, RAD Comment: This is one of the ECG forms of Ebstein’s anomaly; most of them have a relatively small, somewhat a
Pulmonic Stenosis
Report: Sinus rhythm Right axis deviation +140o Right bundle branch block Probable right ventricular hypertrophy Comment: The congenital PS was repaired 21 years previously; a late sequel was a right ventricular aneurysm, scheduled for elective repair
Acute Pancreatitis – Mime of Inferior MI
Report:Sinus tachycardia 132/min Probable acute inferior and anterior (V4) infarction Reciprocal ST segment depression in aVL Comment:In a patient with acute pancreatitis the likelihood of acute infarction remains remote. An ECG suggesting it is most l