American and British English spelling differences are one aspect of American and British English differences.

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'American and British English Spelling Differences' News
EKG or ECG: Which Is Right? - DOTmed.com (press release)
news.google.com
EKG or ECG: Which Is Right?

DOTmed.com (press release)

But none of this explains the misguided English usage today. "In Europe they say ECG; in America EKG. People are confused. People market it differently. ...
Google News Search: American and British English spelling differences,
Thu Dec 31 06:14:02 2009
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