Search the collection
It's the ECG's that george rejects that makes George's ECG's the best.
LBBB: Intermittent LAD
Report: Sinus rhythm SVEBs Left bundle branch block QRS 0.125” Intermittent left axis deviation –50o Comment: Approximately 50% of LBBBs have LAD; this one had LAD 50% of the time! How or why the predivisional LBBB becomes divisional, and back again,
Left Axis Deviation: Inferior Infarction
Report:Sinus rhythm 60/min Left axis deviation –60o Inferior and anterior infarction, probably old Comment:Deep Q waves of inferior infarction are a common cause of LAD in cardiac patients. They distinguish infarction from LAHB, which requires rS morph
Left Axis Deviation: Axis Illusion of Emphysema
Report:Sinus rhythm 92/min Left axis deviation –80o Right atrial abnormality (RAA) Q waves in 3, aVF Comment:Although it is not an abnormality per se, the QRS complexes in emphysema are often characteristically slender. The P waves are pointed and ma
PAT with Block: LBBB RSR' in V1
Report:Atrial tachycardia 216/min with 2:1 block. LBBB. Comment:The only indisputable part of the computer and the Cardiologist’s reports is tachycardia. The tachycardia could not be sinus tachycardia even if there was a 1:1 conduction: the morphology
Inferior Infarction and Left Anterior Hemiblock
Report:Sinus rhythm 78/min Left axis deviation – 72o Left anterior hemiblock Old inferior infarction Clockwise rotation (late transition) Comment:The LAHB is seen as inferior QS waves > 5 mm in depth, lack of secondary R waves in the inferior leads a
Acute Inferolateral Infarction
Report:Accelerated junctional rhythm 93/min Acute inferolateral infarction Comment:There is no obvious atrial activity, dissociated or otherwise. The patient had just arrived to CCU from Casualty and the r-tPA had just been given. The rhythm was interpr
Acute Anteroseptal and Old Inferior Infarction
Report:Sinus rhythm 70/min Left axis deviation – 70o Old inferior infarction & LAHB Acute anteroseptal infarction Comment:The evidence for old inferior MI (known to have occurred 7 years previously) is minute Q wave in the last complex of leads 2 and
Old Posterior and New Inferior Infarct
Report:Sinus rhythm 57/min Left axis deviation Posterior infarction, old Recent or acute inferior infarction Comment:Strictly speaking, the report should have said: inferoposterior MI, ?age. The patient had a known posterior infarction and left anter
Old Anterior and Acute Inferior Infarction
Report:Sinus rhythm 93/min VEB (fusion beat in V1) Left axis deviation -60o Left anterior hemiblock + intraventricular conduction defect Acute inferior infarction Right ventricular infarction Old anterolateral infarction Comment:The patient had ant
Tricuspid Atresia
Report: Atrial pacemaker rhythm 111/min (dual chamber pacemaker) 4 Left axis deviation (LAD) –60o 3 LVH with ST/T changes 3 Comment: A cyanosed child with LAD most likely has tricuspid atresia; in one large series LAD was present in 87% of those wit