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It's the ECG's that george rejects that makes George's ECG's the best.
Hypokalæmia - Giant U Waves
Report:Sinus rhythm 52/min Borderline right axis deviation +91o Right atrial abnormality Late transition Prolonged QT (QU) interval 0.72” Comment:It would not be possible to tell whether the apparent QT prolongation is due to a large U wave that had
Traumatic Pericarditis
Report:Sinus rhythm 92/min Diffuse ST segment elevation c/c pericarditis Comment:The ST elevation is diffuse, reflecting a hæmopericardium rather than diffuse injury. There are also narrow Q waves in multiple leads, in this case a normal variant. A tra
Large T Waves on Amiodarone + Haloperidol
Report:Sinus rhythm 60/min Nonspecific T wave changes ?TU waves Prolonged QT interval 0.58” QTc 0.58” Comment:The patient was on amiodarone infusion for previous AF (Fig 67a) and haloperidol for what, after extubation, was to become a delirium, as we
Pulmonary Embolism: Discrete S1Q3T3 Pattern
Report:Sinus tachycardia 111/min Borderline trace, probably normal Comment:Much depends what one is looking for. I countersigned the Registrar’s and the computer report of “otherwise normal ECG” during routine reporting, but the patient arrived to my IC
Dextrocardia & IVCD
Report:Atrial fibrillation with ventricular response approx 112/min Intraventricular conduction defect QRS 0.15” Lead misplacement or dextrocardia Comment:The patient had Poland’s syndrome51 with dextrocardia and a mild Ebstein’s anomaly; the former i
Atrial Septal Defect
Report:Sinus rhythm 88/min Left atrial abnormality PTFV1 > 1x1 mm Right atrial abnormality P > 2 mm in V2 Borderline (for age) right axis deviation +100o Incomplete right bundle branch block ST/T changes c/c right ventricular hypertrophy Left vent
Gitelman’s Syndrome: Hypokalæmia
Report:Sinus rhythm 85/min Right axis deviation +140o Right bundle branch block Large TU waves c/w hypokalæmia Comment:This is, almost, a P-on-U phenomenon (no pun intended), as Schamroth put it11. The diagnosis can only be made, as reported, in a con
Prominent U Wave
Report:Sinus rhythm 54/min Prominent U wave Comment:After four vodkas and a tequila with some amphetamines at Year 12 formal, she vomited 14 times and came to Casualty with palpitations and headache. Her potassium was only mildly reduced at 3.3 mEq/L; t
Two Movement Artefacts
Report:Sinus rhythm 81/min Nonspecific ST/T changes Movement artefact Comment:The wobbly crinkled baseline in the first set of leads is due to movement but does not deserve a mention because it does not distort the trace much. In V6, however, there is
Crochetage
Report:Sinus rhythm 91/min SVEBs Right atrial abnormality P > 2mm in V2 Right axis deviation +112o Right ventricular hypertrophy qR V2 + RAD Comment:This is a very interesting case in that her ASD was discovered in the course of a CABG procedure: t