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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Broad-Complex Tachycardia?
Report:Atrial fibrillation with rapid response 186/min Acute inferolateral infarction Comment:The computer and, regrettably, some of the staff pronounced this VT despite some (and by inference, all) complexes being quite thin and the obvious ST segment
AIVR in Anterior Infarction
Report:Accelerated idioventricular rhythm 72/min Supraventricular capture beats Ventricular fusion beats (middle of the trace) Acute extensive anterior infarction Comment:AIVR is commoner in inferior than anterior infarcts, but reperfusion tends to ev
Anterior Infarction and Rate-Dependent LBBB
Report:Sinus rhythm 66/min SVEBs, blocked Rate-dependent left bundle branch block Anterior infarction ?age Comment:The pauses created by the non-conducted SVEBs are long, but still not fully compensatory. The complexes terminating the pauses are norma
Transient TV1 > TV6 in LGL Conduction
Report:Sinus rhythm 84/min Minor non-specific ST/T changes Early repolarisation, anterior leads Lown-Ganong-Levine conduction PR interval 0.12â Comment:The patient was admitted following several episodes of precordial discomfort and dyspnÅa, but n
Right Ventricular Infarction
Report:Accelerated junctional rhythm 95/min SVEBs (two couplets) Absolute small voltage Acute inferior infarction Right ventricular infarction Comment:The repolarisation changes are massive for the size of the remaining QRS complexes and the trace lo
Very Radical Prostatectomy
Report:Sinus tachycardia 134/min ST/T changes c/w infarction/ischæmia Comment:Urology disasters were commonplace when I was young. With better perioperative care and more assertive anæsthetic departments they are no longer a regular feature of hospita
Right Ventricular Infarction: Right Chest Leads
Report:Sinus rhythm 96/min Möbitz 1 (Wenckebach) AV block 3:2 and 2:1 conduction Acute inferior infarction Right ventricular infarction Comment:V1 and V2 are still there, but reversed, with the right-sided chest lead hook-up. V3R-6R have additional
Acute Inferolateral Infarction
Report:Accelerated junctional rhythm 93/min Acute inferolateral infarction Comment:There is no obvious atrial activity, dissociated or otherwise. The patient had just arrived to CCU from Casualty and the r-tPA had just been given. The rhythm was interpr
Holter Ischæmia
Report:Top: Sinus tachycardia 105/min SVEB ST/T changes suggestive of ischæmia Middle: Sinus rhythm 80/min Resolving ST/T changes Bottom: Sinus rhythm 66/min Isoelectric ST segments Comment:This is a good example of spontaneous ischæmia (at 3.
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 ser