Search the collection
It's the ECG's that george rejects that makes George's ECG's the best.
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,
Myocardial Infarction and Cerebral Hæmorrhage
Report: Sinus tachycardia Left anterior hemiblock Left ventricular hypertrophy Acute anterior infarction Comment: The pattern is indistinguishable from that of acute myocardial infarction. There was, however, no other evidence for it, in life or at au
Myopericarditis
Report: Sinus rhythm Global T wave inversion c/c infarction/ischæmia Comment: The T waves show deep, if somewhat asymmetrical, inversion. The pain continued and was, at times, severe. Propranolol and nitrates did not help. As the T waves deepened furthe
Dextrocardia and Acute Myocardial Infarction
Report: Sinus rhythm Dextrocardia Acute inferolateral infarction Old anteroseptal infarction Comment: The unusual occurrence of right-sided chest pain is well-recognised in patients with inferior infarction and dextrocardia148. The reason for this is
Hypocalcæmia in Painless Pancreatitis
Report:Sinus rhythm. LVH voltage. Non-specific T wave changes 1 & aVL. Prolonged QT interval 0.53". Q3 and borderline ST segment elevation 2, 3, aVF. Comment:This was an unusual presentation of acute pancreatitis (proven by means of a CAT scan) prese
The Good News and the Bad News
Report:Sinus rhythm. LVH voltage. Comment:The bad news is that the patient was thought to have acute myocardial infarction and was given routine streptokinase infusion, resulting in a hæmorrhagic stroke. He was transferred to WVH later for rehabilitatio
Short QTc in Diltiezam Overdose
Report:Junctional rhythm 56/min Short QT interval 0.36” QTc 0.35” Lead V2 missing Possible old inferior infarction. Comment:The cause of QT interval shortening is iatrogenic32 hypercalcæmia induced by calcium infusion for diltiezam overdose hypotensi
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
Cerebral Mimicry of MI
Report: Sinus tachycardia 127/min Right atrial abnormality VEB Acute inferolateral (or, better, inferior + anterior) myocardial infarction Prolonged QT interval Comment: The last item, QT prolongation, is the only clue that this is not an ordinary my
Acute Pancreatitis – Mime of Inferior MI
Report:Sinus tachycardia 132/min Probable acute inferior and anterior (V4) infarction Reciprocal ST segment depression in aVL Comment:In a patient with acute pancreatitis the likelihood of acute infarction remains remote. An ECG suggesting it is most l