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It's the ECG's that george rejects that makes George's ECG's the best.
Left Atrial Abnormality
Report: Sinus rhythm Left atrial abnormality First degree AV block PR 0.36” Normal axis Left bundle branch block QRS 0.125” Comment: The P waves are 0.12” (3 mm) long. Their P-terminal force (PTF) in lead V1 is well over 1 mm deep and 1 mm long. F
Long PR & Short QT on Digoxin Therapy
Report:Sinus rhythm 75/min Second degree AV block, Möbitz 1 (Wenckebach) Short QT interval 0.29” QTc 0.32” Diffuse nonspecific ST/T changes Consistent with digoxin effect and toxicity Comment:Hospital may be a dangerous place but I would not send a
An Unusual Agonal Alternans
Report: Sinus bradycardia 46/min First degree AV block PR 0.64” Second degree AV block, 3:2 then 2:1 Left atrial abnormality Left bundle branch block QRS 0.42” T wave alternans Comment: The T wave is unaccountably flattened in alternate cycles, pe
P Wave or T Wave?
Report:Sinus bradycardia 37/min. Left atrial abnormality . First degree AV block. Left bundle branch block Comment:The T wave is peaked and sharply demarcated from the preceding ST segment, mimicking a P' wave. Sequential strips (Fig 224a below) gradu
Sluggish Performance of Fat Complexes
Report: Atrial fibrillation with controlled response (top & bottom) Mean BP 85 & 83 mmHg Pacemaker rhythm (middle) Mean BP 68 mmHg Comment: The slight asynchrony in contraction secondary to LBBB-type conduction becomes significant in a critically imp
Calcium in Electromechanical Dissociation
Report: Supraventricular tachycardia, probably sinus, 180/min Third degree AV block Junctional escape rhythm 26/min Short QT interval consistent with hypercalcæmia Comment: Electromechanical dissociation (EMD) is not an ECG diagnosis. Sometimes the cl
RVH in Eisenmenger’s Syndrome
Report: Sinus rhythm Second degree AV block, Möbitz 1 Junctional escape beats Biatrial enlargement [!xe "Biatrial enlargement" \b!] Right axis deviation Right bundle branch block[!xe "Right bundle branch block:qRV1 in RVH" \b!] Probable right ventr
Left Atrial Abnormality & Three Other Blocks
Report:Sinus rhythm 63/min Left atrial abnormality First degree AV block PR 0.36” Left anterior hemiblock Right bundle branch block LVH voltage RaVL 14 mm Comment:The P wave is 0.16” (4 mm) long in lead 2 and, like the classical P mitrale of old,
COCM: Trifascicular Block
Report:Sinus rhythm 84 - 94/min Left atrial abnormality First degree AV block Right bundle branch block Right axis deviation +125o ?Left posterior hemiblock ?Right ventricular hypertrophy Left ventricular hypertrophy voltage Limb lead R wave > 20
Another Lead 2 Problem: Narrow Pacemaker Escapes
Report:Sinus bradycardia 38/min Left atrial abnormality Pacemaker escape beats Escape-capture bigeminy ST/T changes c/c ischæmia Comment:Lead 2 rhythm strip (misprinted as lead 1 – we had a machine that always did it) shows narrow paced beats at some