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It's the ECG's that george rejects that makes George's ECG's the best.
S1Q3T3 Pattern
Report:Sinus rhythm 70/min S1Q3T3 pattern Comment:The pattern is the classical McGinn-White one of large pulmonary embolism or acute cor pulmonale of any ætiology. Even lead 3 ST segment elevation seen in this trace occurred in a pulmonary embolism seri
Acute Cor Pulmonale
Report: Sinus tachycardia 100/min VEB S1Q3T3 (McGinn-White) pattern QRV1 Consistent with acute cor pulmonale Comment: This is a classical picture of acute pulmonary embolism, but things are not always what they seem! The patient had advanced chronic
S1Q3T3 Pattern: Pulmonary Embolism
Report: Sinus tachycardia 152/min Normal axis +70o S1Q3T3 (McGinn-White) pattern of acute cor pulmonale Comment: This patient had the full hand: predisposing thrombophlebitis, left pleuritic chest pain, dyspnœa, shock, clear CXR, hypoxæmia on 15 L/min
Right Ventricular Pulmonary Œdema
Report: Sinus tachycardia Right axis deviation +95o Incomplete RBBB Clockwise rotation Non-specific ST/T changes, consistent with ischæmia Comment: The repolarisation changes probably reflect the patient’s gross hypoxia on admission. The ECG evolved
Status Asthmaticus
Report: Sinus tachycardia Right axis deviation +120o Clockwise rotation Comment: Right axis deviation may still be a normal variant in a young subject; in this case we can be sure it was a result of cor pulmonale as the axis normalised with clinical im
Pulmonary Embolism: McGinn-White Pattern
Report: Sinus rhythm 90/min Right axis deviation +110o S1Q3T3 (McGinn-White) pattern consistent with acute cor pulmonale qR V1 and anteroseptal ST/T changes consistent with right ventricular "strain" Comment: The q in V1 may be a sign of right atrial
RVH with AF in COAD
Report: Atrial fibrillation (coarse) with rapid ventricular response Phasic aberrant conduction, probably incomplete RBBB (6th beat in aVR) Right axis deviation Right ventricular hypertrophy (RVH) Probable left ventricular hypertrophy (LVH) Comment:
Fatal Acute Cor Pulmonale
Report:Sinus rhythm 80/min SVEB Right axis deviation +130o Incomplete right bundle branch block S1Q3T3 (McGinn-White) pattern suggestive of acute cor pulmonale ST/T changes consistent with ischæmia or cor pulmonale Comment:In the context of dissemin
Pulmonary Embolism
Report:Sinus tachycardia 122/min Right axis deviation +110o S1Q3T3 (McGinn-White) pattern Late transition Nonspecific T wave changes Comment:Obese young woman with unexplained BP fluctuations and this ECG does not inspire a long differential diagnosi
Thromboembolic Pulmonary Hypertension
Report:Sinus tachycardia 110/min Right atrial abnormality Right axis deviation +160o Right ventricular hypertrophy with ST/T changes Suggestive of cor pulmonale Comment:Everything supports RVH here. This one has a relatively unusual ætiology: chronic