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It's the ECG's that george rejects that makes George's ECG's the best.
Reversible Katz-Wachtel Phenomenon
Report:Sinus rhythm 160/min Katz-Wachtel phenomenon – biventricular hypertrophy Comment:Here the evidence for RVH is confined to the upright T wave in V1 (abnormal from 4 days to 4 years) and for LVH to the sum of SV1 + RV5 voltages > 45 mm. However, Ka
Rhythm Strip Bump: P Wave or Artefact?
Report: Sinus bradycardia 25/min Junctional escape beats Escape-capture bigeminy Right axis deviation Right bundle branch block Old anteroseptal infarction Lateral infarction or ischæmia Possible right ventricular hypertrophy Comment: Congenital h
V1 Inversion: Doubly True Posterior Infarct
Report: Sinus rhythm Old inferolateral infarction Early transition Probable posterior infarction Lead V1 mounted upside-down Comment: There are pathological Q waves in the inferior leads and V6, evidence of inferolateral infarction. In this context,
Another Pseudoephedrine Carditis
Report:Sinus tachycardia 102/min PR interval 0.20” VEB Nonspecific ST/T changes Comment: This patient’s changes are more severe than those of the previous case. He had been taking more pseudoephedrine for longer. Nevertheless, the ECG normalised withi
The TUP phenomenon
Report: Sinus tachycardia 107/min Borderline left axis deviation – 30o Nonspecific ST/T changes Prominent U wave Comment: The inferior leads show it well. If Marriott had not dignified it with a (however jocular) name105, it probably would not be here
Pheochromocytoma Crisis
Report:Sinus rhythm 54/min Short PR interval 0.10” Global T wave inversion Prolonged QT interval 0.56” Qtc for 54/min = 0.47” Comment: The striking T wave inversion, like that caused by its ‘cerebral’ counterpart, is caused by a catecholamine surge.
Hypokalæmia: Prominent TU Waves
Report:Sinus rhythm 73/min Prolonged QT interval 0.46” QTc 0.50” Comment:It is practically impossible to discern an overlapping U wave here; there is a hint in 3 and aVF. Her potassium level was 2.9 mEq/L; other electrolytes were normal, as was her su
Sudden Death During Holter Monitoring
Report: Supraventricular and ventricular bigeminy Prolonged QT interval (0.64”) Multiform, probably torsade de pointes, ventricular tachycardia Comment: This patient was on digoxin and quinidine. The final (and fatal) paroxysm is initiated by a late VE
Electrocardiographically Discrete Tamponade
Report:Sinus rhythm. Normal axis Left atrial abnormality Left ventricular hypertrophy with ST/T changes Comment:On reflection, not two, but three things are missing: tachycardia, signs of pericardial involvement (pericarditis) and small voltage. Elect
Cerebral T Waves
Report: Sinus tachycardia 120/min Vertical heart position Left ventricular hypertrophy with atypical ST/T changes Prolonged QT interval Comment: It is not possible to determine with certainty whether the QT interval is prolonged or U waves are present