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It's the ECG's that george rejects that makes George's ECG's the best.
Electrical Alternans at 300/min
Report:Supraventricular tachycardia 300/min Electrical alternans Comment:At fast rates, electrical alternans has no connotation of cardiac failure. It can be quite transient: below (Fig 73a) is a trace at only slightly slower rate, without alternans. T
Carney’s Syndrome
Report:Sinus rhythm 84/min Right axis deviation +100o Left atrial abnormality RSR’ in V2 Late transition Comment:The trace suggests mitral stenosis. She had it, but not an ordinary one: it was caused by a large atrial myxoma. In her case, part of Car
HOCM
Report:Sinus rhythm 57/min Borderline first degree AV block PR 0.22” Right (or northwest) axis deviation +225o RsR’ V1 Poor R wave progression Possible right ventricular hypertrophy Left ventricular hypertrophy voltage Possible old inferolateral i
Mixed Mitral Valve Disease
Report:Sinus rhythm 55/min SVEB, LBBB aberrancy Left atrial abnormality Borderline right axis deviation +90o Borderline low voltage in frontal leads LVH voltage chest leads Nonspecific ST/T changes Comment:The picture would be that of mitral stenos
Emphysema: Left Axis Deviation
Report:Sinus tachycardia Right atrial abnormality Left axis deviation –40o Possible old anterior infarction Suggestive of emphysema Comment:Characteristically, S2 > S3 in LAD due to emphysema vis à vis LAHB. Some argue this is not a true LAD but an “
Absolute Small Voltage
Report:Supraventricular tachycardia, possibly sinus, 146/min Absolute small voltage QRS < 5 mm frontal, < 10 mm chest leads Diffuse ST segment depression c/c infarction/ischæmia Comment:Some of the best examples of “ischæmic” ST segment depression com
Voluntary Asystole
Report: Pacemaker rhythm 70/min 2 Somatic tremor 4 Pacemaker inhibition by myopotentials 4 Comment: Unipolar pacemakers are more likely to be inhibited by myopotentials than bipolar ones. Muscle inhibition is rarely seen in modern pacemakers (this on
Pædiatric LAD & LVH: Tricuspid Atresia
Report:Sinus rhythm 160/min Right atrial abnormality, P congenitale type Left axis deviation –30o (for age: 0o - -90o) Left ventricular hypertrophy Comment:The infant had a systemic-pulmonary artery shunt and was doing well clinically. The striking f
LVH with ST/T Changes
Report:Sinus rhythm 84/min Three SVEBs in bigeminy LBBB aberrancy Left ventricular hypertrophy with ST/T changes Left atrial abnormality ST/T changes also suggestive of ischæmia Possible old anteroseptal infarction Comment:In old patients with aort
Pacemaker-Ventricular Wenckebach
Report: Sinus rhythm 1 Third degree AV block 3 Pacemaker rhythm 2 Möbitz 1 (Wenckebach) pacemaker-ventricular block 4 Comment: There is an allorhythmic succession of 2:1 and 3:2 sequences. The latter show well-marked prolongation of spike-to-QRS inter