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It's the ECG's that george rejects that makes George's ECG's the best.
Endocardial Cushion Defect
Report:Sinus rhythm Borderline left atrial abnormality First degree AV block PR 0.26” Left axis deviation – 90o Right ventricular hypertrophy Possible left ventricular (∴biventricular) hypertrophy Comment:This is another RVH, but with an LAD of – 9
Mime of Cerebral Injury
Report:Sinus rhythm 75/min Borderline low voltage Poor R wave progression Diffuse T wave inversion Prolonged QT interval Comment:The tracing is quite suggestive of a cerebral event, but there was none. Cardiac catheter showed segmental akinesia and h
The P-on-U Effect
HypokalæmiaReport: Sinus tachycardia 135/min Non-specific ST/T changes Prominent U waves Consistent with hypokalæmia Comment: As stated earlier, the pun is Schamroth’s174. This second example is to reward the fast learners. The large U wave is superi
Atrial Septal Defect
Report:Sinus rhythm 88/min Left atrial abnormality PTFV1 > 1x1 mm Right atrial abnormality P > 2 mm in V2 Borderline (for age) right axis deviation +100o Incomplete right bundle branch block ST/T changes c/c right ventricular hypertrophy Left vent
Hypocalcæmia
Report: Sinus rhythm 70/min Nonspecific lateral T wave changes Prolonged QT interval QTc 0.50” Comment: Although the QT interval is prolonged, the T wave is usually fairly normal in hypocalcæmia. This may explain the rarity of torsades de pointes: the
Crochetage in ASD
Report:Sinus rhythm Borderline left atrial abnormality Borderline right axis deviation +90o Incomplete right bundle branch block Crochetage in inferior leads suggests ASD Comment:This one did have a fixed split of P2. She was, however, first diagnose
Agonal Junctional Tachycardia
Report: Sinus bradycardia Junctional tachycardia AV dissociation VEBs, bigeminy (below) Second degree AV block, 2:1 (middle strip) Third degree AV block, ventricular standstill (Agonal) ST segment elevation Comment: The last part of a normal human
CVC Straightened in the Right Innominate Vein
Report:Sinus rhythm 82/min (top) SVEBs, some in runs (middle) SVEBs, some aberrant & run of multiform VT (bottom) Comment:This is surprisingly common, but the “incriminating” strips are rarely kept. The VT run appears right ventricular in origin, give
Sluggish Performance of Fat Complexes
Report: Atrial fibrillation with controlled response (top & bottom) Mean BP 85 & 83 mmHg Pacemaker rhythm (middle) Mean BP 68 mmHg Comment: The slight asynchrony in contraction secondary to LBBB-type conduction becomes significant in a critically imp
Electrical Interference
Too Fast for Natural CausesReport: Sinus rhythm SVEBs Left ventricular hypertrophy with ST/T changes Electrical interference Comment: This is not the typical 50 Hz AC interference, but is fast enough not to be a somatic tremor. It’s too fast for natur