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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Right Ventricular Pulmonary Ådema
Report: Sinus tachycardia Right axis deviation +95o Incomplete RBBB Clockwise rotation Non-specific ST/T changes, consistent with ischæmia Comment: The repolarisation changes probably reflect the patientâs gross hypoxia on admission. The ECG evolv
Another Pseudoephedrine Carditis
Report:Sinus tachycardia 102/min PR interval 0.20â VEB Nonspecific ST/T changes Comment: This patientâs changes are more severe than those of the previous case. He had been taking more pseudoephedrine for longer. Nevertheless, the ECG normalised w
Isoelectric Lead 1
Report: Sinus rhythm Third degree AV block Pacemaker rhythm Reversed arms/legs leads! Comment: Flat Lead 1 is virtually pathognomonic of legs/arms reversal. The P waves also assume retrograde polarity (one is seen in the last cycle in leads 1, 2, 3).
VEBs & U Waves: Hypokalæmia
ReportSinus rhythm. Sinus arrhythmia. VEBs, bigeminy. Prominent U waves consistent with hypokalæmia. Comment:The ECG monitor alarmed at the heart rate 34/min. This need not be merely spurious bradycardia, a mistake in the first place, due to negative
A Sticky Roller
Report: Sinus rhythm Right bundle branch block Paper speed artefact Comment: The immediate action would be to check the paper path of the monitorâs writer. Note how, in some of the distorted beats, the T waves are unaffected: it all depends on timing
Peyronie's Disease of the Heart
Report: Peyronie's disease196 of the ECG machine. Comment: The characteristic curvature is seen not only on the patient's complexes, but also on the machine standardisation artefact. The problem was a displaced heated stylus on an older ECG machinemode
Left Atrial Abnormality & Three Other Blocks
Report:Sinus rhythm 63/min Left atrial abnormality First degree AV block PR 0.36â Left anterior hemiblock Right bundle branch block LVH voltage RaVL 14 mm Comment:The P wave is 0.16â (4 mm) long in lead 2 and, like the classical P mitrale of
Evanescent RVH: LPHB
Report:Atrial fibrillation, aver. Response 100/min Right axis deviation +140o Right bundle branch block QRV1 Right ventricular hypertrophy or left posterior hemiblock Comment:This case illustrates the problem of assigning the origin of RAD. It could
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
Short but Thick R Wave in V1: Posterior Infarction
Report:Sinus rhythm 60/min PR interval 0.20â Old inferoposterior infarction Comment:Primary R wave in V1 ⥠0.04â is as much sign of posterior infarction as R > S configuration. Dominant R in V2-3 â the early transition â of course supports th