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It's the ECG's that george rejects that makes George's ECG's the best.
The Critical Rate
Report: Sinus tachycardia VEBs First degree AV block (PR about 0.24”) Right bundle branch block, rate-dependent Critical rate approx. 124/min Comment: The slight deceleration of the sinus rate from top to bottom reveals the critical rate, about 124/m
Interpolation and Aberrant Conduction
Report:Atrial rhythm 75/min VEBs, interpolated Rate-dependent incomplete right bundle branch block Nonspecific T wave changes Comment:The actual source of the rhythm is difficult to assign; P inversion in V6 is sometimes held to denote “left atrial rh
Transient LBBB with RAD & Prolonged Interpolation Effect
Report:Sinus rhythm and arrhythmia VEBs, interpolated Sustained PR interval prolongation Left bundle branch block Transient right axis deviation post-VEBs Possible old anterolateral infarction Comment:Two things are of interest here: diminuendo PR i
Inferior MI: Reciprocal Changes & Remote Ischæmia
Report:Sinus rhythm 71/min Acute inferior infarction Comment:The reciprocal changes, although minuscule in 1 and very modest in aVL, are spread through all the chest leads. This is now thought to reflect a large infarction rather than separate, remote i
ST Elevation or Non-Q Infarction?
Report:Sinus rhythm 87/min ST/T changes c/w infarction/ischæmia Comment:This type of tracing is difficult to define. ST segment elevation infarction requires, by definition10, 1 mm elevation in at least two contiguous leads sustained over 30 minutes. He
Acute Anterolateral Infarction
Report:Sinus rhythm 68/min VEBs Acute anterolateral infarction Left ventricular hypertrophy voltage Comment:The left circumflex artery was 100% blocked, but successfully dilated and stented at the PTCA. However, a sizeable posterolateral infarction re
Fascicular VT in Anterior Infarction
Report:Ventricular (fascicular) tachycardia 103/min RBBB/LAHB morphology Acute anterior infarction Comment:It is possible that the tachycardia is junctional, with aberrancy, except that lead 1 does not look right for RBBB, with or without LAHB; also, i
VEB Revealing Old Infarction
Report:Sinus rhythm Atrial bigeminy VEB LVH with ST/T changes Old anterior infarction Comment:A VEB can at times show infarctional Q waves not visible in normal complexes. This holds for QR and similar morphologies, but not the QS complexes44. In thi
Old and New Inferior Infarction
Report:Sinus bradycardia 44/min First degree AV block Right bundle branch block Acute inferior infarction Comment:The splayed, low-amplitude P waves are difficult to time with respect to possible 2:1 block at 88/min. Even isorhythmic AV dissociation c
Extensive Acute Anterior Infarction
Report:Sinus rhythm 97 - 100/min VEBs, bigeminal Left axis deviation Extensive (hyper)acute anterior infarction Comment:All the precordial leads, as well as the “lateral” 1 and aVL show ST segment elevation reciprocated by depression in the three infe