Search the collection
It's the ECG's that george rejects that makes George's ECG's the best.
SDS in HOCM
Report:Sinus rhythm. Left atrial abnormality . Left ventricular hypertrophy with ST/T changes. Comment:Theoretically, the LAA and the ST/T changes could be a consequence of previous tachyarrhythmia (the "post-tachycardia syndrome"), and the LVH could b
Electrocardiographically Discrete Tamponade
Report:Sinus rhythm. Normal axis Left atrial abnormality Left ventricular hypertrophy with ST/T changes Comment:On reflection, not two, but three things are missing: tachycardia, signs of pericardial involvement (pericarditis) and small voltage. Elect
Mitral Incompetence: LV Volume Overload
Report:Sinus rhythm. Left atrial abnormality Normal axis. Left ventricular hypertrophy with volume overload pattern. Comment:Tall prominent T waves and, later, merely upright ones, constitute the LV volume, or diastolic, overload pattern. It can only
Lead 2 Monitoring
Report: Sinus rhythm P wave axis -30o Probable left ventricular hypertrophy Comment: Lead 2 was once the traditional monitoring lead. This was based on the fact that, if the P waves were - as they usually are - positive in all three standard leads, lea
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
Global T Wave Inversion
Report:Sinus rhythm Normal axis LVH with ST/T changes ± ischæmia Comment: The peculiar thing is that this kind of T wave inversion has a striking preponderance in the elderly woman and is usually not ischæmic, let alone infarctional203. The pattern inv
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
LVH with Right Axis Deviation
Report:Sinus rhythm 86/min Right axis deviation +105o Left atrial abnormality Left ventricular hypertrophy with ST/T changes Probable biventricular hypertrophy Comment:The unusual combination of LVH (RV6 > RV5, LAA and typical repolarisation changes)
LVH Voltage: Large R2
Report:Sinus rhythm 86/min Short PR interval 0.10” Possible LGL syndrome Left ventricular hypertrophy voltage RL2 > 15mm = 26mm Comment: The precordial leads also have high voltages: SV1 + RV6 or RV6 (Sokolow-Lyon index) > 35 mm. A voltage criterion
LVH Voltage Despite Old Infarctions
Report:Sinus rhythm 92/min PR interval 0.20” LVH voltage (RL1 >20 mm, etc) Old anterior infarction Old inferior infarction Comment:Although the commonest cause of small voltage are large or multiple infarctions, the latter may coexist with large volt