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It's the ECG's that george rejects that makes George's ECG's the best.
Pericarditis
Report: Sinus rhythm 97/min Diffuse ST segment elevation suggestive of acute pericarditis Comment: The trace in very suggestive of acute pericarditis. The timid report of “inferior wall ischæmia” is preserved for students’ education. It became quite obv
CVA: Anterolateral ST Segment Elevation
Report:Atrial fibrillation with rapid ventricular response. VEB. Anterolateral ST segment elevation consistent with MI or ischæmia. Left ventricular hypertrophy. Comment:The patient had no clinical evidence of MI. Note the reciprocal - discrete but de
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
RVH with AF in COAD
Report: Atrial fibrillation (coarse) with rapid ventricular response Phasic aberrant conduction, probably incomplete RBBB (6th beat in aVR) Right axis deviation Right ventricular hypertrophy (RVH) Probable left ventricular hypertrophy (LVH) Comment:
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
Chronotropic Incompetence
Report:Atrial fibrillation with “controlled” response Accelerated idioventricular rhythm (AIVR) VEBs Comment:Although the ventricular rate appears favourable, it is in fact inappropriately slow in the setting of shock, pulmonary hypertension (see the p
Myxœdema Diagnosed on ECG
Report:Sinus rhythm 92/min Low voltage throughout (absolute small voltage)[! XE "Low voltage" \t "See Small voltage" !] Prolonged QT interval 0.40” QTc 0.48’ Diffuse nonspecific T wave changes Comment:The patient was quite distressed post-laparotomy
Hypothermia: Atrial Fibrillation
Report:Atrial fibrillation with ventricular response 70 – 96/min Hypothermic humps (J waves, Osborn waves) and prolonged QTc suggestive of hypothermia[! XE "J wave" \t "See Hypothermia" !][! XE "Osborn wave" \t "See Hypothermia" !] Nonspecific T wave ch
LVH with ST/T Changes
Report:Sinus bradycardia 49/min Left atrial abnormality Left ventricular hypertrophy with ST/T changes Comment:There are typical repolarisation changes in all the leads; the voltage criteria offer an embarrassment of riches. The LAA is part of LVH cri
ST Segment Depression in Pericarditis
Report:Sinus rhythm 84/min Borderline left atrial abnormality Left ventricular hypertrophy voltage ST segment elevation c/c pericarditis Comment:Even with a somewhat wobbly baseline, there is ST depression in V1. This is not a true reciprocal change: