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It's the ECG's that george rejects that makes George's ECG's the best.
Left Axis Deviation: Axis Illusion of Emphysema
Report:Sinus rhythm 92/min Left axis deviation –80o Right atrial abnormality (RAA) Q waves in 3, aVF Comment:Although it is not an abnormality per se, the QRS complexes in emphysema are often characteristically slender. The P waves are pointed and ma
RVH: Chronic Cor Pulmonale in COAD
Report:Sinus rhythm 93/min Right axis deviation +110o Right atrial abnormality P axis + 80o Right ventricular hypertrophy Comment:The entire trace is, in fact, in favour of RVH: the RAD and the RAA as much as the qR morphology of V1 and the precordi
RVH in COAD
Report: Atrial fibrillation, mean ventricular rate 85/min Right axis deviation + 130o qRV1, probable right ventricular hypertrophy Nonspecific ST/T changes Comment: RVH is seldom expressed as dominant R wave in V1 in COAD; the commonest change is RAD
Emphysema: Northwest Axis
Report: Sinus tachycardia 130/min Right atrial abnormality P axis +85o Indeterminate abnormal axis +250o S1S2S3 pattern Poor R wave progression RSR’ in V1-2 Comment: The patient had advanced emphysema, with dilated right ventricle and clinical cor
Right Atrial Abnormality
Report: Sinus tachycardia 130/min Right atrial abnormality 5 mm P wave in Lead 2 P wave axis + 90o Vertical heart position Comment: The inferior ST segment depression (using T-P baseline) may be due, at least in part, to prominent Ta waves, inferred
Cor Pulmonale: COAD with MAT
Possible Run of MATReport: Sinus tachycardia 118/min Right atrial abnormality SVEBs, one blocked Probable run of multifocal atrial tachycardia (MAT) 170/min Probable LBBB aberrancy Right axis deviation +100o Left ventricular hypertrophy voltage Co
Cor Pulmonale: COAD
Report: Sinus tachycardia Right atrial abnormality Left atrial abnormality Right axis deviation +130o Possible left ventricular hypertrophy Nonspecific ST/T changes Comment: There is an obvious right axis and a P pulmonale with a right axis of its
Axis Illusion in Emphysema
Report:Sinus tachycardia 110/min Right atrial abnormality P axis +85o Left axis deviation QRS –90o Late (or no) transition Comment:An immediate clue that the LAD is not due to an LAHB (its commonest cause, overall) is that S2 > S3, opposite of wha
Right Atrial Abnormality
Report: Sinus rhythm Right atrial abnormality Comment: The P wave is over 2.5 mm tall . It is characteristically peaked, and its axis is over +70o; these additional criteria are not necessary for the diagnosis of RAA. The older term, P pulmonale, is st
COAD: P Pulmonale Causing ST Segment Depression
Report: Sinus tachycardia 117/min Right atrial abnormality Small voltage (absolute) Late transition Borderline ST segment changes Comment: The P wave axis is 86o, with 0.4 mV amplitude in lead 2 and the characteristic peaked shape. As often happens