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It's the ECG's that george rejects that makes George's ECG's the best.
Giant T Wave Inversion
Report:Sinus rhythm 74/min Advanced second degree AV block Idioventricular rhythm 38/min Giant T wave inversion Prolonged QT interval QTc 0.60” Comment:The tracing is virtually pathognomonic of a preceding Stokes-Adams attack. The T waves are large
Arms-Legs Reversal
Report:Sinus rhythm 60/min Legs-arms reversal Normal trace Comment:The pattern is diagnostic: retrograde P waves and flat L1. This is much less common than arms or V1 – V2 or V3 reversal. In this case the computer went for the arms reversal with “atria
Atrial Transport: Pressure Recording
Report:Ectopic tachycardia (unspecified, possibly aberrant NPJT or VT) 120/min. Sinus tachycardia 100/min. Comment:The nature of the faster rhythm is difficult to establish on this diagnostically unfavourable strip. A similar run shown below on this pag
Electrical Alternans at 300/min
Report:Supraventricular tachycardia 300/min Electrical alternans Comment:At fast rates, electrical alternans has no connotation of cardiac failure. It can be quite transient: below (Fig 73a) is a trace at only slightly slower rate, without alternans. T
Pædiatric RVH: Upright TV1
Report: Sinus rhythm 160/min [rate 110-178 3-11 months] Left atrial abnormality Right axis deviation +120o [normal for age] Right ventricular hypertrophy Left ventricular hypertrophy voltage RV6 = 30 mm Possible biventricular hypertrophy Comment: T
LVH: Left Ventricular Volume Overload
Report:Atrial fibrillation with controlled response (56/min) Left anterior hemiblock (frontal plane QRS axis -50o) Poor R wave progression Left ventricular hypertrophy (RV5 > 25 mm) Prominent T waves consistent with LV volume overload Comment:The pat
Left Pneumonectomy Pseudoinfarction
Report:Sinus rhythm 62/min Right axis deviation +135o Possible anterior infarction ?age Possible cor pulmonale Small voltage, chest leads Comment:The preoperative ECG was normal (Fig 15a below). The obvious question is whether a perioperative event l
U Waves
Report: Sinus rhythm Non-specific T wave changes Prominent U waves[!xe "U wave:hypokalæmia" \b!] Comment: The patient became hypokalæmic following hæmodialysis; she also had chronic hypocalcæmia. It is very difficult to measure the true QT interval in
LVH with Psedo P Pulmonale
Report: Sinus rhythm Left atrial abnormality Borderline RAA Left ventricular hypertrophy with ST/T changes Comment: The atrial abnormality is probably all left atrial in this setting. LVH is, at times, associated with apparent RAA, called pseudo P pul
Acute Cor Pulmonale
Report: Sinus tachycardia 100/min VEB S1Q3T3 (McGinn-White) pattern QRV1 Consistent with acute cor pulmonale Comment: This is a classical picture of acute pulmonary embolism, but things are not always what they seem! The patient had advanced chronic