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It's the ECG's that george rejects that makes George's ECG's the best.
Acute Inferior Infarction: Anterior Reciprocal Changes
Report:Sinus rhythm 82/min First degree AV block PR interval 0.28” Acute inferior infarction Comment:The tracing is remarkable in that both lateral all the precordial leads show reciprocal ST segment depression, more than the previous example in Fig 8
Coronary Artery Dissection
Report:Fig 111: Sinus bradycardia 40/min Left atrial abnormality (LAA) – best seen in lead 2 Left ventricular hypertrophy voltage Fig 111a: Sinus bradycardia 40/min SVEB (last beat) Left atrial abnormality (LAA) First degree AV block Acute extens
LAD Artery Occlusion and Repair
Report:Fig 112: Sinus tachycardia 140/min Extensive acute anterior infarction Movement artefacts Fig 112a: Sinus tachycardia 118/min Extensive acute anterior infarction Comment:The tracings are similar to the previous case, 111, except the recordin
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
ST Elevation or Non-Q Infarction?
Report:Sinus rhythm 87/min ST/T changes c/w infarction/ischæmia Comment:This type of tracing is difficult to define. ST segment elevation infarction requires, by definition10, 1 mm elevation in at least two contiguous leads sustained over 30 minutes. He
Inferoposterolateral Infarction
Report:Sinus rhythm 70/min Right axis deviation (RAD) ±180o Inferoposterolateral infarction, age indeterminate Comment:Complete proximal circumflex lesion was stented, with large basal infarction and surprisingly preserved LVEF 50%13. It is not possibl
Broad-Complex Tachycardia?
Report:Atrial fibrillation with rapid response 186/min Acute inferolateral infarction Comment:The computer and, regrettably, some of the staff pronounced this VT despite some (and by inference, all) complexes being quite thin and the obvious ST segment
AIVR in Anterior Infarction
Report:Accelerated idioventricular rhythm 72/min Supraventricular capture beats Ventricular fusion beats (middle of the trace) Acute extensive anterior infarction Comment:AIVR is commoner in inferior than anterior infarcts, but reperfusion tends to ev
Acute Infarction with Pre-existing LBBB
Report:Sinus rhythm 60/min Left atrial abnormality (LAA) Left bundle branch block Acute inferior & anterior infarction Comment:The diagnosis was based on new and marked ST segment elevation in the inferior leads and V3 as well as concordant T inversio
Tombstones
Report:Sinus tachycardia 111/min Acute extensive anterior infarction Comment:The ST segment hyperelevtion (“tombstoning”) bodes ill for the patient. This one died within 24 hours, ventilated for cardiogenic shock and resultant multi-organ failure. At a