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It's the ECG's that george rejects that makes George's ECG's the best.
Hyperacute Anterior Infarction
Report:Sinus rhythm 70 – 74/min (Hyper)acute anterior infarction Comment:The term hyperacute is frowned at by some, but it does have reasonable economy of expression and definitional specificity in referring to early infarction predominantly manifest as
Non-Q Infarction
Report:Sinus rhythm ST/T changes consistent with infarction/ischæmia Poor R wave progression Comment:This is the same patient whose stage of illusion is shown on the preceding page. Now, 24 hours later, the T waves have “flipped” and the cardiac enzym
Acute Inferior Infarct – L Circumflex Occlusion
Report:Sinus tachycardia 112/min Acute inferolateral infarction Comment:This trace has three major criteria favouring left circumflex artery over RCA as the culprit vessel. The reciprocal changes in aVL but not in 1 denote the left circumflex a
Acute Cor Pulmonale
Report: Sinus tachycardia 100/min VEB S1Q3T3 (McGinn-White) pattern QRV1 Consistent with acute cor pulmonale Comment: This is a classical picture of acute pulmonary embolism, but things are not always what they seem! The patient had advanced chronic
CVA Simulating Infarction
Report: Sinus rhythm 92/min Probable acute anterior infarction Borderline ST segment elevation in the inferior leads Comment: There are no reciprocal changes and the QT is prolonged, but it could still be an infarct. In the context of proven cerebral h
Amyloid Pseudoinfarction
Report:Sinus rhythm 85/min VEB Small voltage in frontal leads Old inferior and extensive anterior infarctions Comment:The extensive infarction is, of course, an ECG diagnosis. This case demonstrates the need for differential diagnosis even (or especia
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
Left Pneumonectomy Pseudoinfarction
Report:Sinus rhythm 62/min Right axis deviation +135o Possible anterior infarction ?age Possible cor pulmonale Small voltage, chest leads Comment:The preoperative ECG was normal (Fig 15a below). The obvious question is whether a perioperative event l
Hyperkalæmia
Report: Sinus rhythm ST/T changes consistent with hyperkalæmia Comment: The T waves are peaked, tall and narrow, tent-shaped with soupçon of a waist – typical of hyperkalæmia. The ST segments are elevated in several leads, reflecting the dialyzable curr
It’s a Boy: Duchenne Muscular Dystrophy
Report: Sinus tachycardia 144/min Axis +90o Rs in V1 consistent with Erb-Duchenne (pseudohypertrophic) muscular dystrophy[!xe "Duchenne (pseudohypertrophic) muscular dystrophy" \b \i!] Comment: The characteristic feature of Duchenne dystrophy is the do