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It's the ECG's that george rejects that makes George's ECG's the best.
Right, Left, then Right Bundle Branch Block
Report:Sinus tachycardia 140/min Second degree AV block First degree AV block in conducted beats PR 0.30” SVEBs, blocked (causing the pauses) Left bundle branch block Primary repolarisation changes c/c infarction/ischæmia Comment:This is an obvious
Invisible LAHB Causing 2:1 AV Block
Report:Sinus tachycardia 120/min 2:1 AV block Right axis deviation +140o Right bundle branch block Possible old anterolateral infarction Comment:The cause of the RAD may be RVH or old anterolateral MI but the former was certainly not present clinical
Acute Inferior Infarction: Anterior Reciprocal Changes
Report:Sinus rhythm 82/min First degree AV block PR interval 0.28” Acute inferior infarction Comment:The tracing is remarkable in that both lateral all the precordial leads show reciprocal ST segment depression, more than the previous example in Fig 8
Right Ventricular Infarction: Right Chest Leads
Report:Sinus rhythm 96/min Möbitz 1 (Wenckebach) AV block 3:2 and 2:1 conduction Acute inferior infarction Right ventricular infarction Comment:V1 and V2 are still there, but reversed, with the right-sided chest lead hook-up. V3R-6R have additional i
Wenckebach AV Block in Acute Inferior Infarction
Report:Sinus rhythm 90/min Möbitz 1 (Wenckebach) second degree AV block Intraventricular conduction defect (IVCD) QRS 0.12” Acute inferior infarction Comment:The most striking feature are the marked precordial reciprocal changes, indicating extensive
LBBB: Primary T Wave Changes
Report:Sinus rhythm 65/min First degree AV block PR 0.28” Left bundle branch block Primary T wave changes 2, 3 and aVF Comment:LBBB always causes repolarisation changes directed opposite the main QRS deflection, especially its terminal half. They are
Wrong Reason for the Right Report
Report:Sinus tachycardia 128/min Third degree AV block Junctional escape rhythm 38/min Acute inferior and right ventricular infarction (Right-sided V leads as labelled) Atrial infarction Comment:The report followed a previous one, on a preceding ECG
Inferior Infarction: Blocks and Arrhythmias
Report:Sinus tachycardia 122/min Second degree AV block, unspecified Junctional escape beats and rhythm 46/min Non-phasic aberrant conduction Acute inferior infarction Comment:It is said that the presence of 2o AV block in inferior infarction denotes
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
Giant T Wave Inversion
Report:Sinus rhythm 74/min Advanced second degree AV block Idioventricular rhythm 38/min Giant T wave inversion Prolonged QT interval QTc 0.60” Comment:The tracing is virtually pathognomonic of a preceding Stokes-Adams attack. The T waves are large