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It's the ECG's that george rejects that makes George's ECG's the best.
Alternating (2:1) Right Bundle Branch Block
Report: Sinus tachycardia 126/min Left anterior hemiblock Frontal plane axis –60o Alternating right bundle branch block Poor R wave progression Nonspecific ST/T changes Comment: The diagnosis depends, critically, on identical PR interval in all the
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
Infarction and LVH
Report:Sinus rhythm 86/min Left anterior hemiblock LAD -40o LVH with ST/T changes Poor R wave progression ST segment depression suggestive of infarction/ischæmia Comment:Like the previous case, this one has some ST segment elevation in V1 and aVR (a
Myocardial Infarction and Cerebral Hæmorrhage
Report: Sinus tachycardia Left anterior hemiblock Left ventricular hypertrophy Acute anterior infarction Comment: The pattern is indistinguishable from that of acute myocardial infarction. There was, however, no other evidence for it, in life or at au
Cytochrome Oxidase Deficiency (Mitochondrial Myopathy)
Report: Sinus rhythm 118/min Left anterior hemiblock Axis -40o Comment:Rates up to 163/min are below the ‘tachycardia’ range for infants up to 2 years. RSR’ pattern as seen here in V1-2 is also normal, at any age. Left axis deviation, however, is abn
LVH: Left Ventricular Volume Overload
Report:Atrial fibrillation with controlled response (56/min) Left anterior hemiblock (frontal plane QRS axis -50o) Poor R wave progression Left ventricular hypertrophy (RV5 > 25 mm) Prominent T waves consistent with LV volume overload Comment:The pat
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,
LVH & RBBB
Report:Sinus rhythm 78/min Left atrial abnormality Third degree AV block Ventriculophasic sinus arrhythmia Junctional rhythm 42/min Right bundle branch block Left anterior hemiblock Frontal axis – 40o Left ventricular hypertrophy with ST/T changes
Escape-Capture Bigeminy in AF
Report: Atrial fibrillation 1 High-grade or complete AV block 1 Junctional rhythm 2 Pacemaker rhythm 1 Escape-capture bigeminy 1 Left anterior hemiblock (LAHB) 1 Right bundle branch block 1 Anteroseptal infarction, age uncertain 1 ST/T changes con
Masquerading Bundle Branch Block
Report:Atrial fibrillation with ventricular response 80-120/min 1 Fixed-rate ventricular pacemaker rhythm 50/min 2 Fusion beat (third paced complex) 1 R-on-T pacing 1 Right bundle branch block 1 Left anterior hemiblock 1 Standard masquerading bundl