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It's the ECG's that george rejects that makes George's ECG's the best.
Katz-Wachtel Phenomenon: TGA
Report:Sinus rhythm 150/min (8 – 30 days: 115 – 190 normal rates) Right atrial abnormality Right ventricular hypertrophy Positive T wave in V1 Probable biventricular hypertrophy Katz-Wachtel phenomenon Comment:The infant had transposition of the gr
Katz-Wachtel Phenomenon
Report:Sinus rhythm 71/min Axis +100o (normal for 9 years) Katz-Wachtel phenomenon – biventricular hypertrophy Comment:QR in V1 strongly suggests RVH, but the frontal axis, although rightward, remains within normal limits for age. This may be due to th
Reversible Katz-Wachtel Phenomenon
Report:Sinus rhythm 160/min Katz-Wachtel phenomenon – biventricular hypertrophy Comment:Here the evidence for RVH is confined to the upright T wave in V1 (abnormal from 4 days to 4 years) and for LVH to the sum of SV1 + RV5 voltages > 45 mm. However, Ka
Shifting Atrial Pacemaker
Report: Sinus rhythm SVEB Shifting atrial pacemaker Right atrial abnormality Right axis deviation + 130o Left ventricular hypertrophy voltage Possible biventricular hypertrophy Nonspecific T wave changes Comment: Obviously, the shifting pacemaker
Pædiatric RVH: Upright TV1
Report: Sinus rhythm 160/min [rate 110-178 3-11 months] Left atrial abnormality Right axis deviation +120o [normal for age] Right ventricular hypertrophy Left ventricular hypertrophy voltage RV6 = 30 mm Possible biventricular hypertrophy Comment: T
LVH with Right Axis Deviation
Report: Atrial tachycardia (flutter) 208/min with 2:1 block Axis +90o Small voltage, limb leads Left ventricular hypertrophy with ST/T changes Comment: The rate of the flutter is very slow, presumably due to flecainide therapy; it was only reported as
Endocardial Cushion Defect & Biventricular Hypertrophy
Report:Sinus rhythm 63/min First degree AV block PR 0.22” Right atrial abnormality Left anterior hemiblock LAD –65o RSR’ in V1 Biventricular hypertrophy Katz-Wachtel phenomenon: QRS 67 mm in V4 Nonspecific ST/T changes Comment:The interesting f
Katz-Wachtel Phenomenon
Report:Sinus rhythm 128/min Right atrial abnormality Right ventricular hypertrophy Left ventricular hypertrophy Comment:The voltages are the very large (91mm QRS V4, pure R 12mm V1). Katz-Wachtel phenomenon denotes the large, relatively equiphasic, mi
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,