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It's the ECG's that george rejects that makes George's ECG's the best.
Short but Thick R Wave in V1: Posterior Infarction
Report:Sinus rhythm 60/min PR interval 0.20” Old inferoposterior infarction Comment:Primary R wave in V1 ≥ 0.04” is as much sign of posterior infarction as R > S configuration. Dominant R in V2-3 – the early transition – of course supports the diagnosi
Anterior Infarction From the First and Last Smoke
Report:Sinus rhythm 55/min Old anteroseptal infarction Comment:This is a rather unremarkable outpatient tracing, showing QS complexes in V1-2, very small R in V3 and abnormal T waves in 1 and aVL. There is no “septal” q wave in a small V6 complex – anot
Acute Anterolateral and Old Inferior Infarction
Report:Sinus rhythm 74/min VEB RAA + LAA Left axis deviation -35o Old inferior infarction Acute anterolateral infarction Comment:There is some slight ST elevation in the high lateral leads and marked one in V4-6 with reciprocal changes in V1-2. The
Early Posterior Infarction
Report:Atrial rhythm 61/min ST/T changes c/w infarction/ischæmia Comment:At this stage it is unwise to be more specific. With plump-looking inferior T waves it is possible that this is where infarct pattern will evolve. There is reciprocal depression in
Posterior Non-Q Infarction
Report:Sinus rhythm 56/min T wave changes c/w ischaemia Comment:The ECG is almost normal (the computer and some of the staff repeatedly stated it). And yet, the anteroseptal T waves are much taller than those with tall R waves. This is an example of TV1
Fascicular VT in Anterior Infarction
Report:Ventricular (fascicular) tachycardia 103/min RBBB/LAHB morphology Acute anterior infarction Comment:It is possible that the tachycardia is junctional, with aberrancy, except that lead 1 does not look right for RBBB, with or without LAHB; also, i
Massive ST Segment Elevation in Coronary Spasm
Report:Sinus rhythm 93/min Extensive acute anterior infarction Comment:The elevation settled rapidly and subsequent angiography documented normal coronary arteries. The most likely explanation is spasm, which may have caused near-drowning in the first p
Wenckebach AV Block in Acute Inferior Infarction
Report:Sinus rhythm 90/min Möbitz 1 (Wenckebach) second degree AV block Intraventricular conduction defect (IVCD) QRS 0.12” Acute inferior infarction Comment:The most striking feature are the marked precordial reciprocal changes, indicating extensive
Stage of Illusion
Report:Sinus rhythm 63/min Normal trace Comment:This is a potentially dangerous situation: acute infarct pattern normalises in that ST segments are again isoelectric and the T wave have not yet turned. Below (Fig 54a) is the trace taken 3 hours previous
Surprising Face of Capnocytophaga canimorsus Septicaemia
Report:Sinus rhythm 90/min Acute anterolateral infarction Comment:The patient had a clinically obvious septic shock. The organism was Capnocytophaga canimorsus, a rare cause of systemic sepsis (dogs’ teeth being cleaner than human) distinguished by its