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It's the ECG's that george rejects that makes George's ECG's the best.
Acute Cor Pulmonale
Report: Supraventricular tachycardia, probably sinus, 160/min Right axis deviation +95o Small voltage Right bundle branch block Borderline T wave changes Comment: The rhythm strip from a later trace is superimposed over the original one to show the p
Brugada Alarms
Report:Sinus rhythm 70/min Borderline left atrial abnormality Anteroseptal ST segment elevation Comment:The patient presented to Casualty following a syncopal attack and his ECG, especially in lead V2, showed a saddleback-type (type 2) ST segment ele
Sotalol Overdose
Report:Sinus rhythm 62/min 2:1 AV block Ventriculophasic sinus arrhythmia Prolonged QT interval 0.58” QTc 0.58” Comment:The blocked alternate P waves are not very obvious, superimposed on prolonged, themselves rather wavy, T waves. Also, alternate at
Agonal Twist
Report: Sinus tachycardia 157/min (top) Progressive intraventricular conduction delay, RBBB type Torsade de pointes ventricular tachycardia 150 - 175/min (bottom) Comment: The designation of this as torsade de pointes is, perhaps, twisting the point a
Mitral Stenosis
Report:Sinus rhythm. Left atrial abnormality (LAA.) Probable right atrial enlargement. Right axis deviation. Probable right ventricular hypertrophy. Prolonged QT interval. Comment:This is one of those ECGs that delight the reporter, making him feel
Amyloid Pseudoinfarction
Report:Sinus rhythm 85/min VEB Small voltage in frontal leads Old inferior and extensive anterior infarctions Comment:The extensive infarction is, of course, an ECG diagnosis. This case demonstrates the need for differential diagnosis even (or especia
Cooling Cardiac Arrest
Report:Sinus rhythm 99/min Intraventricular conduction defect c/c hypothermia Nonspecific ST/T changes Prolonged QT interval 0.40” QTc 0.84” Movement artefact V3 Comment:The hypothermic humps are rather inconspicuous, but there once one looks for th
COCM: Trifascicular Block
Report:Sinus rhythm 84 - 94/min Left atrial abnormality First degree AV block Right bundle branch block Right axis deviation +125o ?Left posterior hemiblock ?Right ventricular hypertrophy Left ventricular hypertrophy voltage Limb lead R wave > 20
RVH in Eisenmenger’s Syndrome
Report: Sinus rhythm Second degree AV block, Möbitz 1 Junctional escape beats Biatrial enlargement [!xe "Biatrial enlargement" \b!] Right axis deviation Right bundle branch block[!xe "Right bundle branch block:qRV1 in RVH" \b!] Probable right ventr
Agonal ST Segment Elevation
Report: Supraventricular rhythm of uncertain origin Sinus rhythm, with sinus arrests Probable junctional rhythm Progressive ST segment elevation Asystole Comment: Initial ST depression, followed by elevation, is quite common terminal event. Presumabl