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It's the ECG's that george rejects that makes George's ECG's the best.
Transposition: Biventricular Hypertrophy
Report:Sinus rhythm 76/min Borderline first degree AV block PR 0.18” Right atrial abnormality, P congenitale type Right bundle branch block Right ventricular hypertrophy QRV1 + RAA Biventricular hypertrophy Katz-Wachtel phenomenon Comment:Again,
Hypercalcæmia
Report:Sinus rhythm 89/min Short QT interval c/c hypercalcæmia Comment:The actual QT measurement, just over 0.30”, yields a QTc of 0.38” – not a useful tool in a patient with calcium 4.64 mmol/L. Marriott suggest measuring the interval to the apex of th
Holter-Monitored Sudden Death
Report:Sinus bradycardia 32/min (12.5 mm/sec recording) Asystole Comment:The patient had a routine Holter “to exclude AF” for a recent occipital CVA and was found dead in his bed. It is not always possible to ascertain whether the death was cardiac or n
Rate Hysteresis
Report:Sinus rhythm 1 VEBs, multiform 2 Demand ventricular pacemaker 3 Rate hysteresis 3 Fusion beat (top panel) 1 Comment:The VVI pacemaker takes over after the VEBs; the long cycle it terminates corresponds to a rate 50/min, while the subsequent t
LVH – Volume Overload Pattern
Report:Sinus rhythm 65/min Left atrial abnormality Left ventricular hypertrophy, volume overload pattern RSR’ in V1-2 Comment:The LAA is best seen in V3-5, along with prominent T waves. With LVH voltage in the chest leads this constitutes evidence for
Sotalol Overdose
Report:Sinus rhythm 62/min 2:1 AV block Ventriculophasic sinus arrhythmia Prolonged QT interval 0.58” QTc 0.58” Comment:The blocked alternate P waves are not very obvious, superimposed on prolonged, themselves rather wavy, T waves. Also, alternate at
Overdrive of Atrial Tachycardia With Block
Report: Top: Atrial tachycardia 200/min 1 2:1 AV block 1 Pacemaker artefact 122/min 2 No capture 1 Second: Atrial pacing 250/min 3 Capture 0 Variable AV block 0.5 Third: Atrial pacing 80/min 0.5 1:1 conduction 0 Bottom: Sinus rhythm 68/min 1
Hypokalæmia: Helmet-Like TU Waves
Report:Sinus rhythm 96/min TU waves c/c hypokalæmia Comment:The appearance of rounded TU waves in the inferior leads is very characteristic, often leading to a spot diagnosis. This ECG is made easier by the helpful separation of T and U waves in the pre
Pericarditis
Report:Sinus rhythm 67/min First degree AV block PR interval 0.22” ST segment elevation c/c pericarditis Comment:The features favouring pericarditis are ST elevation in both the frontal and the precordial leads, involvement of V6 and normal QRS and T
Fatal Pulmonary Embolism
Report:Sinus tachycardia 102/min ST/T changes c/c infarction/ischæmia Possible acute cor pulmonale S1T3 pattern Comment:This is a difficult tracing. The modest ST elevation in V1-2 is associated with what looks like reciprocal ST depression in inferol