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It's the ECG's that george rejects that makes George's ECG's the best.
Right Atrial Abnormality
Report: Sinus rhythm Right atrial abnormality Comment: The P wave is over 2.5 mm tall . It is characteristically peaked, and its axis is over +70o; these additional criteria are not necessary for the diagnosis of RAA. The older term, P pulmonale, is st
Pseudoalternans
Report:Sinus tachycardia 111/min VEBs in bigeminy Fusion beats Comment:The first fusion beat appears at the end of the top strip. The middle strips show VEBs in bigeminy, without fusion; the bottom strip shows later-coupled VEBs in fusion, mimicking al
Pædiatric LAD & LVH: Tricuspid Atresia
Report:Sinus rhythm 160/min Right atrial abnormality, P congenitale type Left axis deviation –30o (for age: 0o - -90o) Left ventricular hypertrophy Comment:The infant had a systemic-pulmonary artery shunt and was doing well clinically. The striking f
Agonal Rhythm & Atrial ‘Infarction’
Report:Atria ?sinus rhythm Runs of accelerated idioventricular rhythm(s) AV dissociation (from third strip down) Progressive QRS prolongation in the AIVR or AJR Progressive PT segment elevation c/c atrial infarction Atrial ?sinus bradycardia (bottom
Paced Tricuspid Atresia
Report:Atrial pacemaker rhythm 111/min Left axis deviation –60o Left ventricular hypertrophy with ST/T changes Comment:The child had Fontan repair119 (atriopulmonary connection) in infancy. His combination of LVH and LAD is characteristic of tricuspi
Hypothermia: Brain Death
Report: Sinus rhythm 57/min Early transition J waves consistent with hypothermia Prolonged QT interval 0.55” QTc 0.54” Borderline ST segment elevation Comment: The rate is relatively fast and there is no evidence of tremor: the patient was brain-dea
Pericarditis: PR Segment Displacement
Report: Sinus rhythm 98/min PR segment shift consistent with acute pericarditis Otherwise normal trace Comment: The obvious ST segment shift of Stage I acute pericarditis106 was recorded 14 hours later (below). PR segment displacement is often the earl
Global T Wave Inversion
Report:Sinus rhythm Normal axis LVH with ST/T changes ± ischæmia Comment: The peculiar thing is that this kind of T wave inversion has a striking preponderance in the elderly woman and is usually not ischæmic, let alone infarctional203. The pattern inv
Post-CABG ST Segment Elevation
Report:Sinus tachycardia 112/min Diffuse ST segment elevation consistent with pericarditis Comment:This is indistinguishable from acute pericarditis, down to PR segment displacement. Yet it is difficult to name it – it is obviously a different species,
Agonal Rhythm & Paper-End Mark
Report:Junctional or accelerated idioventricular rhythm (AIVR) 52/min. 1:1 retrograde conduction. Comment:The sinus rhythm is completely regular in brain death and usually faster than while vagal tone was still extant, except in profound hypothermia. Th