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It's the ECG's that george rejects that makes George's ECG's the best.
Peyronie's Disease of the Heart
Report: Peyronie's disease196 of the ECG machine. Comment: The characteristic curvature is seen not only on the patient's complexes, but also on the machine standardisation artefact. The problem was a displaced heated stylus on an older ECG machinemode
Electromechanical Association: Spurious VT
Report:Sinus tachycardia. Incomplete RBBB. Movement artefact. Comment:The movement artefact occurs at the same rate as the pulse. The patient had a forceful precordial impulse, which visibly moved the lead attachment. I could not reproduce the original
Physiotherapy of Tetanus
Report:Sinus tachycardia Movement artefact (middle strip) Comment:The QRSs can be mapped out throughout the period of vibration physiotherapy - a familiar artefact in all the ICU units. A tetanic spasm would not be very different, but the patient should
Holter: Artefact Mime of VT
Report:Sinus rhythm VEBs, multiform, one dimorphic couplet (bottom panel) Movement artefact 295/min, uncertain origin Comment:The “run” in the top panel has an unlikely fast rate of almost 300/min, but it looks scary, especially in a patient fitted wit
Electromechanical Association
Report: Probable multifocal atrial tachycardia (MAT) 122/min Vertical heart position Nonspecific T wave changes Movement artefact V2-3 Comment: The earliest ECG sign of emphysema is the shift of P wave axis in the limb leads to beyond +70o. This is
Arms-Legs Reversal
Report:Sinus rhythm 60/min Legs-arms reversal Normal trace Comment:The pattern is diagnostic: retrograde P waves and flat L1. This is much less common than arms or V1 – V2 or V3 reversal. In this case the computer went for the arms reversal with “atria
Complete Chest Lead Reversal
Report:Atrial pacemaker rhythm 78/min Complete chest lead reversal Possible left ventricular hypertrophy Comment:This is a rare variant of lead reversal. It happens when the entire block of V-lead terminals is rotated 180o and inserted into the machine
Two Movement Artefacts
Report:Sinus rhythm 81/min Nonspecific ST/T changes Movement artefact Comment:The wobbly crinkled baseline in the first set of leads is due to movement but does not deserve a mention because it does not distort the trace much. In V6, however, there is
Torsade Artefact
Report:Sinus rhythm 82 – 88/min VEBs, one couplet Movement artefact lower panel Comment:For some reason, the (signed) report included “1 episode of torsades” (Fig 90a). This is a gross error, given that normal QRS complexes can be mapped out through th
Holter Tape Stretch
Report:Sinus rhythm 68 – 70/min Paper speed or stretch artefact Comment:Variable, in this case fast, paper speed prolongs all the formed elements of the cardiogram to make them look like the last four complexes in this recording. The prolongation is irr