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It's the ECG's that george rejects that makes George's ECG's the best.
Irregular Monomorphic Ventricular Tachycardia
Report:Ventricular tachycardia 128-170/min.[! !][! XE "Ventricular tachycardia:uniform" \t "See monomorphic" !] Periods of bigeminy Comment:It is uncommon for monomorphic VT to be irregular. The irregularity, however, is confined to long-short cycle alt
Ostium Primum ASD
Report:Sinus tachycardia 137/min (up to 133/min normal for below 4 years) Left axis deviation –60o Possible RVH (5mm R wave in V1 after 6 months of age) Comment:The rR’ in V1 is consistent with but not diagnostic of RVH: it can always be an RSR’ with s
Emphysema: α-1 Antitrypsin Deficiency
Report: Sinus rhythm Left axis deviation – 80o Comment: The commonest cause of LAD is LAHB; in middle-aged men, the commonest cause of LAHB is underlying coronary disease, often subclinical. This trace looks like LAHB, down to QR in aVR and RS in V6. Tr
Tricuspid Atresia
Report: Atrial tachycardia 150/min, variable block Ventriculophasic effect Left axis deviation –35o Nonspecific ST/T changes Prolonged QT interval Comment: The P waves are very broad and widely notched, like the sinus P waves (Fig 150a below). Both a
Paced Tricuspid Atresia
Report:Atrial pacemaker rhythm 111/min Left axis deviation –60o Left ventricular hypertrophy with ST/T changes Comment:The child had Fontan repair119 (atriopulmonary connection) in infancy. His combination of LVH and LAD is characteristic of tricuspi
Unread Pre-Discharge ECG
Report: Sinus rhythm 58/min Left axis deviation - 50o Intraventricular conduction defect (IVCD) Probably LAHB + non-specific conduction delay Possible LVH Giant anteroseptal T wave inversion Prolonged QT interval 0.660” (QTc for 58/min 0.45”) Comm
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
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
Emphysema: Left Axis Deviation
Report:Sinus tachycardia Right atrial abnormality Left axis deviation –40o Possible old anterior infarction Suggestive of emphysema Comment:Characteristically, S2 > S3 in LAD due to emphysema vis à vis LAHB. Some argue this is not a true LAD but an “
Pædiatric LAD & LVH: Tricuspid Atresia
Report:Sinus rhythm 160/min Right atrial abnormality, P congenitale type Left axis deviation –30o (for age: 0o - -90o) Left ventricular hypertrophy Comment:The infant had a systemic-pulmonary artery shunt and was doing well clinically. The striking f