T he electrocardiogram shown in Figure 1 was read by the computer as arm-lead reversal. Th e computer reading went on to say that no further analysis would be attempted. Th is clearly is a programming mistake because the precordial leads make the diagnosis. Although we would estimate that 95% of electrocardiograms with negative P, QRS, and T waves in lead I are due to armlead reversal, a small ...

Communications to the Editor local vasodilator and reduces platelet aggregation in vitro; it is believed to mediate dipyridamole’s in moo antiplatelet and vasodilator effects. It is unclear how methylxanthines cause bronchodilation; almost all act to block adenosine receptors. Aminophylline has been shown to reduce cerebral blood flow, probably by antagonizing the vasodilator effects of adenosi...

C liical im ge A term-newborn baby developed respiratory distress after his first feed. An orogastric tube failed to reach the stomach. Chest and abdominal radiography showed a coiled tube in the proximal oesophageal pouch, and a gas-containing abdomen. These findings were consistent with oesophageal atresia (OA) and distal tracheo-esophageal fistula (TOF) (Fig.). Dextrocardia, right-sided gast...