Search the collection
It's the ECG's that george rejects that makes George's ECG's the best.
Left Axis Deviation: Inferior Infarction
Report:Sinus rhythm 60/min Left axis deviation –60o Inferior and anterior infarction, probably old Comment:Deep Q waves of inferior infarction are a common cause of LAD in cardiac patients. They distinguish infarction from LAHB, which requires rS morph
Right Axis Deviation: Lateral Infarction
Report:Sinus tachycardia 110/min Right axis deviation +150o Postero-antero-lateral infarction, probably recent Comment:The Q waves in the (high) lateral leads 1 and aVL are responsible for the RAD. They are called “lateral” by convention and do not imp
RBBB with Amputated Primary R Wave
Report:Sinus rhythm 95/min Right axis deviation Right bundle branch block Recent anterior infarct Comment:The QR complex in V1 is still RBBB since the delay is all in the RV territory. Before the infarction it was an rSr’ of normal duration (not shown
Alternating Left Anterior Hemiblock
Report:Sinus tachycardia 102/min Alternating LAD, probably LAHB Acute or recent anterior infarction Comment:The presenting symptoms of both angina and infarction are often atypical in women5. This patient had post-infarction angina at the time of this
Inferior MI: Reciprocal Changes & Remote Ischæmia
Report:Sinus rhythm 71/min Acute inferior infarction Comment:The reciprocal changes, although minuscule in 1 and very modest in aVL, are spread through all the chest leads. This is now thought to reflect a large infarction rather than separate, remote i
Hyperacute Anterior Infarction
Report:Sinus rhythm 66/min Acute anterior infarction Comment:The term hyperacute refers to increase in T wave height at a very early stage of myocardial infarction. The waves need not be large. As Goldberger put it6, “the amplitude of hyperacute T waves
Acute Anteroseptal Infarction
Report:Sinus rhythm 72/min Acute anteroseptal infarction Leads V1 and V3 transposed Comment:The biphasic P wave in the displaced V1 indicates that the lead is in correct position (on the patient). There are new Q waves in V1 and V2, with ST segment ele
Acute Posterior Infarction
Report:Sinus rhythm 80/min ST segment depression c/c MI/ischæmia Probable acute posterior infarction Comment:One can never be completely sure. Marked septal ST depression is a feature of uncommonly observed septal ischæmia or, as a reciprocal change, i
Anterior + Inferior MI
Report: Sinus rhythm Left atrial abnormality (LAA) Borderline first degree AV block Left axis deviation (LAD) – 60o Left anterior hemiblock (LAHB) Incomplete right bundle branch block (RBBB) Extensive acute anterior myocardial infarction Acute infe
ST Depression Myocardial Infarction
Report:Sinus rhythm 97/min Possible LVH ST segment depression consistent with infarction/ischaemia Comment:This is the worst ECG presentation for acute infarction – worse than T wave inversion or ST segment elevation77. The pattern is, in fact, that of