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It's the ECG's that george rejects that makes George's ECG's the best.
AV Block in Inferior Infarction
Report: Top: Sinus rhythm VEB Third degree AV block Junctional escape rhythm 42/min Second strip: Sinus tachycardia 104/min Second degree AV block, 2:1 conduction First degree AV block in conducted beats (PR 0.44”) Third strip: Sinus tachycardi
Let the Sleeping Dog Lie?
Report:Sinus arrhythmia 45 - 68/min Second degree AV block Two blocked P waves Comment:It is disconcerting to see a spontaneous 3.7" pause, but (i) the patient had a recent inferior MI and (ii) remained asymptomatic during similar episodes while aw
AV Block in Inferior Infarction
Report: Top: Sinus rhythm VEB Third degree AV block Junctional escape rhythm 42/min Second strip: Sinus tachycardia 104/min Second degree AV block, 2:1 conduction First degree AV block in conducted beats (PR 0.44”) Third strip: Sinus tachycardi
Let the Sleeping Dog Lie?
Report:Sinus arrhythmia 45 - 68/min Second degree AV block Two blocked P waves Comment:It is disconcerting to see a spontaneous 3.7" pause, but (i) the patient had a recent inferior MI and (ii) remained asymptomatic during similar episodes while awake.
Embolic Anterior Infarction in Endocarditis
Report:Sinus tachycardia 108/min T wave changes c/w infarction/ischæmia Comment:Again, there are no reciprocal changes in the inferior leads. The embolus lodged distal to the first diagonal (D1) and septal (S1) branches of the LAD. This is almost invari
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
Another Proximal LAD Lesion
Report:Sinus tachycardia 133/min (Hyper)acute anterior infarction Comment:The indicative ST/T changes are in the anteroseptal leads and include lateral leads 1 and aVL. There is also marked reciprocal depression in the inferior leads. These are both sig
Acute Extensive Anterior Infarction: Regaining R Waves
Report:Sinus rhythm 60/min Acute extensive anterior infarction Comment:Pathological Q waves are present in V2-3 after less than two hours of symptoms, possibly with some negative implications for the short-term outlook. Half an hour later, further ST se
Acute Extensive Anterior Infarction: Junctional Rhythm
Report:Junctional rhythm 47/min Acute extensive anterior infarction Comment:There are some semantic problems here. A single dissociated P wave – very likely sinus – is seen just before the last QRS complex. Should sinus rhythm be reported as well? Other
Isolated U Wave Inversion
Report: Sinus rhythm 82/min Nonspecific T wave changes T3 > T1, TV1 > TV6, consistent with ischæmia Negative U waves Comment: U waves are common; their isolated (from the T wave) negativity is rare and constitutes a surprisingly specific marker of the