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It's the ECG's that george rejects that makes George's ECG's the best.
Advanced Second Degree AV Block
Report:Sinus tachycardia 100/min Second degree AV block, advanced ST/T changes consistent with MI/ischæmia Comment:The conducted P waves are all associated with slightly variable first degree block and the QRS complex is narrow: the site of the block
Advanced Second Degree AV Block
Report:Sinus tachycardia 100/min Second degree AV block, advanced ST/T changes consistent with MI/ischæmia Comment:The conducted P waves are all associated with slightly variable first degree block and the QRS complex is narrow: the site of the block i
Infarction and LVH
Report:Sinus rhythm 86/min Left anterior hemiblock LAD -40o LVH with ST/T changes Poor R wave progression ST segment depression suggestive of infarction/ischæmia Comment:Like the previous case, this one has some ST segment elevation in V1 and aVR (a
Transient TV1 > TV6 in LGL Conduction
Report:Sinus rhythm 84/min Minor non-specific ST/T changes Early repolarisation, anterior leads Lown-Ganong-Levine conduction PR interval 0.12” Comment:The patient was admitted following several episodes of precordial discomfort and dyspnœa, but no p
Holter Ischæmia
Report:Top: Sinus tachycardia 105/min SVEB ST/T changes suggestive of ischæmia Middle: Sinus rhythm 80/min Resolving ST/T changes Bottom: Sinus rhythm 66/min Isoelectric ST segments Comment:This is a good example of spontaneous ischæmia (at 3.30
Poor (Man’s Exercise) Test
Report:Sinus rhythm 56 – 66/min VEB SVEBs, blocked Post-ectopic T wave inversion Comment:The Holter strips are a continuous recording. Post-VEB beat (top strip) has inverted T wave – what some call a post-extrasystolic repolarisation change. Similar
Ischæmia and Wellens’ Warning
Report:Atrial rhythm 68/min (first 6 beats) Sinus rhythm 54/min (last 5 beats) T wave changes c/w ischæmia Borderline LVH voltage (R2 15mm) Comment:In V1-3 the T waves, even though within normal limits by themselves, appear unduly prominent compared t
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
Unstable Angina
Report:Sinus rhythm 84/min Early transition ST segment depression suggestive of ischæmia Comment:There is enough horizontal (“plane”) or slowly rising (e.g., lead 2, V4) ST depression to define a positive exercise test, especially when followed by tota
Small Ts in 1 and V6
Re-arrange ECGs to true time sequence, re-write report! Report:Sinus rhythm 59/min T wave changes c/w ischæmia Comment:The TV1 > TV646 or T3 > T1 phenomenon is less well known than it should be. It is not normal, as most computer programmes would have