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It's the ECG's that george rejects that makes George's ECG's the best.
Ischæmic ST Segment Depression
Report:Sinus rhythm 69/min Right axis deviation +95o ST segment depression c/w ischæmia Comment:The patient had unstable angina and her ECG reflects her coronary disease. The ST segments are over 1 mm depressed, horizontal (“plane” depression) and the
Sudden Death Syndrome: Main Left Pattern
Report:Atrial fibrillation with mean response 85/min Indeterminate axis Diffuse ST/T changes c/w MI/ischæmia Comment:The patient had recurrent VF and fatal cardiogenic shock in Casualty. The pattern of marked ST segment depression with elevation in a
Another Isolated U Wave Inversion
Report:Sinus rhythm 95/min Right atrial abnormality (RAA) Probable LVH with ST/T changes Inverted U waves c/w ischæmia Movement artefact V5. Comment:This patient, with chronic emphysema and hypertension, had an episode of chest pain two years previou
Cerebral Mime of Ischæmia
Report:Sinus rhythm 54/min LVH voltage, probably normal for age ST/T changes suggestive of ischaemia Prolonged QTc 0.47” (QT 0.5”) Comment:An accident may cause both cardiac and cerebral damage, often with marked ECG changes. On the other hand, both h
Ischæmic ST Segment Depression
Report:Sinus rhythm 88/min ST/T changes suggestive of ischæmia Comment:In a person with chest pain (or equivalent – women have a lot of those55) this ECG is diagnostic. There are plane, slowly rising, or downsloping ST segments in many leads and elevati
Positive Exercise Test
Report:Early ST segment depression consistent with severe ischæmia Comment:The peak exercise attained a rate of 152/min just before the end of Stage 1 (Bruce protocol); the diastolic pressure rose from 100 to 105 mmHg; most importantly, the patient repor
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.
Ischæmic Giant T Wave Inversion
Report:Sinus rhythm Borderline first degree AV block PR 0.22” Incomplete left bundle branch block QRS 0.12” Deep T wave inversion consistent with infarction/ischæmia Prolonged QTc 0.52” Comment:The patient had severe multivessel disease, with steno
Agonal ST Segment Elevation
Report: Supraventricular rhythm of uncertain origin Sinus rhythm, with sinus arrests Probable junctional rhythm Progressive ST segment elevation Asystole Comment: Initial ST depression, followed by elevation, is quite common terminal event. Presumabl
LVH with ST/T Changes
Report:Sinus rhythm 84/min Three SVEBs in bigeminy LBBB aberrancy Left ventricular hypertrophy with ST/T changes Left atrial abnormality ST/T changes also suggestive of ischæmia Possible old anteroseptal infarction Comment:In old patients with aort