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It's the ECG's that george rejects that makes George's ECG's the best.
Torsade Artefact
Report:Sinus rhythm 82 – 88/min VEBs, one couplet Movement artefact lower panel Comment:For some reason, the (signed) report included “1 episode of torsades” (Fig 90a). This is a gross error, given that normal QRS complexes can be mapped out through th
Thyrotoxicosis
Report:Supraventricular tachycardia 215/min Comment:Somewhat unusual first presentation of thyrotoxicosis; not even spectacularly fast. However, following adenosine-induced reversion to sinus rhythm, she remained quite tachycardic (Fig 94a) and thyroid f
Dextrocardia in Situs Inversus Viscerum
Report:Sinus rhythm 92/min Dextrocardia Nonspecific T wave changes Comment:Oddly enough the computer diagnosed “regular rhythm with unusual P axis”, as though negative P wave in L1 is merely “unusual”. It also went the full hog: “anterolateral infarct”
RVH in Emphysema
Report:Sinus rhythm 96/min Right axis deviation +170o Right atrial abnormality Right ventricular hypertrophy Poor R wave progression Comment:The QRS axis is bizarrely right, with negative lead 2, and the emphysema QRS complex is characteristically n
Holter Tape Stretch
Report:Sinus rhythm 68 – 70/min Paper speed or stretch artefact Comment:Variable, in this case fast, paper speed prolongs all the formed elements of the cardiogram to make them look like the last four complexes in this recording. The prolongation is irr
Erythromycin Torsade de Pointes
Report:Sinus tachycardia 122/min Nonspecific T wave changes Prolonged QT interval Comment:This is one of those tracing where inspection is better than attempts at precise measurement and QTc calculation: there is a clear-cut long ST segment and the T w
P congenitale: Tetralogy of Fallot
Report:Sinus rhythm First degree AV block PR 0.24” Right atrial abnormality P congenitale (P axis +60o) Right axis deviation +125o Right bundle branch block Right ventricular hypertrophy Comment:In P congenitale the atrial wave is quite large in
Endocardial Cushion Defect
Report:Sinus rhythm Borderline left atrial abnormality First degree AV block PR 0.26” Left axis deviation – 90o Right ventricular hypertrophy Possible left ventricular (∴biventricular) hypertrophy Comment:This is another RVH, but with an LAD of – 9
CVA Mimics Anterior MI
Report:Sinus rhythm 93/min PR interval 0.09” Acute anterior infarction/ischæmia Also consistent with CVA Comment:This is a relatively frequent occurrence in severe brain injury from any cause; cerebral hæmorrhage is the leading cause at the Canberra H
RBBB With a Difference
Report:Sinus bradycardia Borderline right axis deviation +90o Right bundle branch block V1 – V3 reversed Comment:The RBBB looks strikingly atypical in Lead V1, until one realises that V1 and V3 had been reversed! (Looking at the T wave helps).The trac