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It's the ECG's that george rejects that makes George's ECG's the best.
Turner’s Syndrome
Report:Sinus rhythm 91/min Right atrial abnormality, P congenitale type Right axis deviation +140o Right ventricular hypertrophy Diffuse T wave changes Comment:Women with Turner’s syndrome have a range of ECG abnormalities, including T wave changes,
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
Idioventricular Rhythm Mime of RVH
Report:Idioventricular (?fascicular) rhythm 57/min Giant T wave inversion Prolonged QT interval Comment:The QRS morphology suggests, superficially, RVH. In V1, however, it is not a true qR complex – there is a small primary R wave as well: it’s an rsR’
Brugada Syndrome
Report:Sinus tachycardia 101/min PR interval 0.20” V1-2 morphology c/c Brugada syndrome Comment:The patient was admitted under a Neurologist, whose routine tests (scans, EEG, etc) were normal; a Cardiology consultation was arranged because of the “long
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:
LVH Voltage: RV6 > RV5 and Its Variability
Report:Atrial fibrillation with ventricular response approx. 90/min RSR’ V1 Ashman’s phenomenon Left ventricular hypertrophy voltage Comment:In normal subjects, and even in LVH, the tallest precordial R wave is V5. If it is in V6 – in the absence of a
A(typical) Uræmic Pericarditis
Report:Sinus rhythm 60/min SVEBs Diffuse ST segment elevation suggestive of pericarditis Comment:This pericarditis ECG is typical, down to PR segment displacement in several leads. The patient also had typical pain and a triphasic rub (which tends to b
Katz-Wachtel Phenomenon
Report:Sinus rhythm 128/min Right atrial abnormality Right ventricular hypertrophy Left ventricular hypertrophy Comment:The voltages are the very large (91mm QRS V4, pure R 12mm V1). Katz-Wachtel phenomenon denotes the large, relatively equiphasic, mi
Pacemaker Blues
Report: [Code Blue] Pacemaker rhythm 72/min 1 QRS 0.36” 2 Pacemaker rhythm 72/min 1 QRS 0.20” 2 AV dissociation 2 Accelerated idioventricular rhythm 78-84/min 2 Comment: The QRS complex width - in paced beats, bundle branch blocks, or VEBs - gener
Problems with Lead 2
Report:Atrial fibrillation with rapid ventricular response 127/min Intermittent (rate-dependent) right bundle branch block Nonspecific ST/T changes Comment:The L2 rhythm strip demonstrates that this lead is one of the worst (in this case, the worst) to