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It's the ECG's that george rejects that makes George's ECG's the best.
Anterior Infarction: “Trifascicular” Block
Report:Sinus rhythm 99/min First degree AV block PR interval 0.28” Right bundle branch block Left anterior hemiblock Axis –85o Extensive acute anterior infarction Comment:The term “trifascicular” is a misnomer – irresistible to some – because the A
Lateral Infarction
Report:Sinus rhythm 73/min Acute (high) lateral infarction Comment:There is (typically) discrete but in this case quite definite ST segment elevation in the lateral leads 1 and aVL. Reciprocal depression is (again, typically) even more prominent in 3 an
Inferior MI, VEBs & Persistent Wenckebach
Report:Sinus tachycardia 104/min VEBs, frequent, multiform Second degree AV block, Möbitz 1 (Wenckebach) Late transition Nonspecific intraventricular conduction delay (IVCD) Acute inferior infarction Anterolateral ST/T changes c/w MI/ischæmia Comm
Inferolateral Infarction & LBBB
Report:Sinus rhythm 88/min Left bundle branch block Acute inferolateral infarction Comment:Unlike the previous case’s IVCD, this one shows typical LBBB, with sharp S descent and slower ascent in V1. Despite this, there is a concordant ST segment elevat
Anterior Infarction, LBBB & Its Escape Rhythm
Report:Fig 89: Sinus rhythm 76/min Borderline LAA LVH with ST/T changes Anterior infarction ?age Fig 89a (24 hours later): Sinus rhythm 74/min Alternating complete & incomplete left bundle branch block Primary T wave changes Fig 89b (an hour late
Acute Anterior MI: Frequent R-on-T VEBs
Report:Sinus rhythm 64/min Frequent R-on-T VEBs Extensive acute anterior infarction Comment:This VEB density (a Holter term) would have evoked xylocaine reflex4 until quite recently. Lown Class V ventricular ectopic activity5 even more so. However, in
Tombstones in V2
Report:Sinus rhythm 80/min Acute anterior infarction Comment:An hour later (below, Fig 92a), following thrombolysis, the ST elevation has almost completely resolved, with encouraging early T wave inversion68.
Acute Inferior Infarction
Report: Sinus rhythm 60/min PR interval 0.22” Acute inferior infarction Comment: This is a very early stage, with inferior T waves still large and upright. The ST segment is markedly displaced (6 mm elevation in Lead 3) in both the indicative and the r
Junctional Rhythm: Acute Anterior Infarction
Report: Junctional rhythm 60/min Right bundle branch block Borderline left axis deviation – 30o Extensive acute anterior infarction Comment: Atrial activity is most apparent in V1, where a spiky positive P wave precedes the QRS by 0.08”. Patients wit
Massive ‘Reciprocal’ Changes
Report: Sinus rhythm PR interval 0.20” Acute lateral infarction Widespread reciprocal ST segment depression Comment: It never, of course, quite certain how much of the ST depression is indeed reciprocal to the puny elevation in aVL and how much is ind