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It's the ECG's that george rejects that makes George's ECG's the best.
Acute Cor Pulmonale
Report:Sinus tachycardia 113/min S1Q3T3 (McGinn-White) pattern Incomplete right bundle branch block Right precordial T wave inversion & ST segment depression Consistent with acute cor pulmonale Comment:The classical S1Q3T3 (McGinn-White) pattern of s
Sudden Death During Holter Monitoring
Aortic StenosisReport: Top: Sinus tachycardia 112/min VEBs, frequent, multiform, some in couplets Second strip: Sinus arrhythmia 100 - 64/min Marked ST segment depression consistent with ischæmia Third strip: Sinus arrest Junctional escape rhythm
HOCM
Report:Sinus rhythm 57/min Borderline first degree AV block PR 0.22” Right (or northwest) axis deviation +225o RsR’ V1 Poor R wave progression Possible right ventricular hypertrophy Left ventricular hypertrophy voltage Possible old inferolateral i
Post-LBBB T Wave Inversion
Report: Sinus rhythm Intermittent LBBB Widespread symmetrical T wave inversion Prolonged QT interval 0.60” Comment: This patient, with recurrent TIAs, could have post-syncopal T wave inversion. There was, however, no history of any “event” - cerebral
LVH with Right Axis Deviation
Report: Atrial tachycardia (flutter) 208/min with 2:1 block Axis +90o Small voltage, limb leads Left ventricular hypertrophy with ST/T changes Comment: The rate of the flutter is very slow, presumably due to flecainide therapy; it was only reported as
Global T Wave Inversion
Report: Sinus rhythm Global T wave inversion[!xe "T wave:inversion:global" \b \i!] Comment: The striking changes were associated with complete lack of any other evidence of myocardial damage (echocardiogram and cardiac enzymes, as well as a later stress
RVH with AF in COAD
Report: Atrial fibrillation (coarse) with rapid ventricular response Phasic aberrant conduction, probably incomplete RBBB (6th beat in aVR) Right axis deviation Right ventricular hypertrophy (RVH) Probable left ventricular hypertrophy (LVH) Comment:
Hyperventilation in Anxiety Attack
ReportSinus tachycardia 144/min Right axis deviation +95o, borderline for age Right atrial abnormality Late transition Nonspecific ST/T changes Comment: The ECG is also consistent with cor pulmonale. Tachycardia per se increases the amplitude of the
Absolute Small Voltage
Report: Sinus rhythm Absolute small voltage Poor R wave progression Nonspecific ST/T changes Comment: The QRS amplitude is less than 0.5 mV (5 mm) in all the frontal plane leads and less than 1.0 mV in all the chest leads. The patient had been off st
Prolonged QT Interval
Report: Sinus rhythm 54/min Prolonged QT interval 0.56” QTc 0.53” Comment: This trace suggests anteroseptal infarction, with QS complexes in V1-2 and anteroseptal T wave inversion. However, the ‘septal’ q wave in V6 is preserved, which is unusual in an