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It's the ECG's that george rejects that makes George's ECG's the best.
Right Axis Deviation: RVH
Report:Sinus rhythm 92/min Biatrial abnormality (LAA + RAA) Right axis deviation +115o Right bundle branch block Inferior and anterior Q waves ? cause Probable right ventricular hypertrophy Comment:The patient had very large dilated and hypertrophie
RVH: Chronic Cor Pulmonale in COAD
Report:Sinus rhythm 93/min Right axis deviation +110o Right atrial abnormality P axis + 80o Right ventricular hypertrophy Comment:The entire trace is, in fact, in favour of RVH: the RAD and the RAA as much as the qR morphology of V1 and the precordi
RVH in COAD
Report: Atrial fibrillation, mean ventricular rate 85/min Right axis deviation + 130o qRV1, probable right ventricular hypertrophy Nonspecific ST/T changes Comment: RVH is seldom expressed as dominant R wave in V1 in COAD; the commonest change is RAD
Pulmonic Stenosis
Report: Sinus rhythm Right axis deviation +140o Right bundle branch block Probable right ventricular hypertrophy Comment: The congenital PS was repaired 21 years previously; a late sequel was a right ventricular aneurysm, scheduled for elective repair
Right Ventricular Hypertrophy: Scleroderma
Report: Sinus rhythm Probable RAA Right axis deviation + 130o qRV1 Right ventricular hypertrophy Comment: The qR morphology of V1 is, by itself, evidence for right atrial enlargement as well as RVH; the prominent monophasic P in V2 supports it and in
RVH
Report:Sinus rhythm 70/min Right axis deviation + 130o qRV1 – right ventricular hypertrophy Comment:Most ECGs looking like this would suggest primary pulmonary hypertension, especially in a young woman. The heart has a limited repertoire: this example
Cor Pulmonale: RVH with RBBB
Pre-Transplant Fibrosing AlveolitisReport:Sinus rhythm. Borderline first degree AV block (PR 0.20"). Right atrial abnormality ? biatrial enlargement. Right axis deviation Right bundle branch block. Right ventricular hypertrophy Comment:The tendency
Electromechanical Association
Report: Probable multifocal atrial tachycardia (MAT) 122/min Vertical heart position Nonspecific T wave changes Movement artefact V2-3 Comment: The earliest ECG sign of emphysema is the shift of P wave axis in the limb leads to beyond +70o. This is
Pædiatric Right Ventricular Hypertrophy
Report:Probable flutter 300/min with 2:1 block Right axis deviation Right ventricular hypertrophy Comment:In children with congenital heart disease the abnormal RAD is usually manifest as S1S2S3 morphology. The qR in V1 indicates that it is a true RAD,
RVH in Emphysema
Report:Sinus rhythm 96/min Right axis deviation +170o Right atrial abnormality Right ventricular hypertrophy Poor R wave progression Comment:The QRS axis is bizarrely right, with negative lead 2, and the emphysema QRS complex is characteristically n