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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: Supraventricular tachycardia, probably sinus, 160/min Right axis deviation +95o Small voltage Right bundle branch block Borderline T wave changes Comment: The rhythm strip from a later trace is superimposed over the original one to show the p
Pulmonary Embolism: Global T Inversion
Report: Atrial fibrillation with ventricular response 67/min Right axis deviation +90o S1Q3T3 (McGinn-White) pattern consistent with pulmonary embolism Diffuse T wave inversion Comment: The T waves make the trace unusual; embolism tends to produce sha
Acute Cor Pulmonale
Report: Sinus rhythm S1Q3T3 (McGinn-White) pattern Anteroseptal T wave inversion consistent with right ventricular strain Comment: Tachycardia is not invariably present, especially with massive or submassive embolisation. This patient, like many others
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
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
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
Pulmonary Embolism: Discrete S1Q3T3 Pattern
Report:Sinus tachycardia 111/min Borderline trace, probably normal Comment:Much depends what one is looking for. I countersigned the Registrar’s and the computer report of “otherwise normal ECG” during routine reporting, but the patient arrived to my IC
Fatal Pulmonary Embolism
Report:Sinus tachycardia 102/min ST/T changes c/c infarction/ischæmia Possible acute cor pulmonale S1T3 pattern Comment:This is a difficult tracing. The modest ST elevation in V1-2 is associated with what looks like reciprocal ST depression in inferol