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It's the ECG's that george rejects that makes George's ECG's the best.
Small Voltage in Anasarca
Report: Sinus rhythm 98/min Absolute small voltage Diffuse nonspecific ST/T changes Prolonged QT interval Comment: The entire QRS complex is less than 5 mm in the frontal leads and less than 8 mm in the precordial leads. The commonest cause is extensi
T & U Wave Reciprocity
Report: Atrial fibrillation VEBs, multiform Prominent U waves[!xe "U wave:cycle length U - T reciprocity" \b \i!] ? Hypokalæmia Comment: After long cycles, the U grows bigger and the T wave shrinks. U wave regularly exceeds the height of the T wave af
Long QT after Cerebral Trauma
Report:Sinus tachycardia 103/min Small frontal plane voltage Diffuse T wave inversion Prolonged QT interval Comment:Some of the repolarisation changes can be due to U waves merged with T waves; while it cannot be excluded, it does not matter. The pota
Cytochrome Oxidase Deficiency (Mitochondrial Myopathy)
Report: Sinus rhythm 118/min Left anterior hemiblock Axis -40o Comment:Rates up to 163/min are below the ‘tachycardia’ range for infants up to 2 years. RSR’ pattern as seen here in V1-2 is also normal, at any age. Left axis deviation, however, is abn
Prominent U Wave
Report:Sinus rhythm 54/min Prominent U wave Comment:After four vodkas and a tequila with some amphetamines at Year 12 formal, she vomited 14 times and came to Casualty with palpitations and headache. Her potassium was only mildly reduced at 3.3 mEq/L; t
Obscure ST Segment Elevation
Report: Sinus rhythm Diffuse ST segment elevation Possible ischæmia Comment: The changes occurred following the aminophylline-induced tachycardia (Fig 129a below). The prominent T waves also suggest ischæmia, but there was no reason to suspect it other
Post-Lobectomy Pericarditis[!xe "Pericarditis:post-thoracotomy" \i!]
Report: Sinus rhythm. SVEB (penultimate beat in the trace). ST segment elevation consistent with pericarditis.[!xe "ST segment:elevation:pericarditis" \i!] Possible LVH. Comment:The ST segment elevation is common after thoracotomy and usually has no c
Pericarditis – T Wave Stage (Stage III)
Report: Sinus rhythm Nonspecific T wave changes Possible LVH RV6 > RV5 Comment: There is nothing to specifically point to pericarditis as the cause of this young man’s T wave flattening and inversion, but it is perfectly consistent with that diagnosis
Mitral Incompetence: LV Volume Overload
Report:Sinus rhythm. Left atrial abnormality Normal axis. Left ventricular hypertrophy with volume overload pattern. Comment:Tall prominent T waves and, later, merely upright ones, constitute the LV volume, or diastolic, overload pattern. It can only
Emphysema: Left Axis Deviation
Report:Sinus tachycardia Right atrial abnormality Left axis deviation –40o Possible old anterior infarction Suggestive of emphysema Comment:Characteristically, S2 > S3 in LAD due to emphysema vis à vis LAHB. Some argue this is not a true LAD but an “