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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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,
Acute Non-Embolic Cor Pulmonale
Report: Sinus tachycardia 130/min Normal axis S1Q3T3 (McGinn-White) pattern consistent with acute cor pulmonale RSRâ pattern V1 Precordial T wave inversion consistent with right ventricular strain Comment: The combined features are strongly suggest
Hypokalæmia, pre-VF
Report:Sinus rhythm Right atrial abnormality Poor R wave progression Probable left ventricular hypertrophy Nonspecific ST/T changes Prolonged QT interval ? large U waves Somatic tremor Comment:Potassium was 2.0 mEq/L and the pH 7.66. Most patients
Myocardial Contusion
Report:Sinus tachycardia 100/min First degree AV block Right bundle branch block Inferior infarction ?age Possible atrial infarction Poor R wave progression Comment:The trace is very abnormal and, in the context of blunt chest trauma, quite suggesti
Pulmonary Embolism
Report:Sinus tachycardia 122/min Right axis deviation +110o S1Q3T3 (McGinn-White) pattern Late transition Nonspecific T wave changes Comment:Obese young woman with unexplained BP fluctuations and this ECG does not inspire a long differential diagnosi
Long QT Interval Post-VF
Report:Sinus rhythm 65/min Right axis deviation +100o Late transition Long QT interval 0.54â QTc 0.56â Nonspecific ST/T changes Comment:She died from cerebral sequelae of her VF arrest; it is reasonable to ascribe the QT prolongation to cerebral
LVH Voltage: Large R2
Report:Sinus rhythm 86/min Short PR interval 0.10â Possible LGL syndrome Left ventricular hypertrophy voltage RL2 > 15mm = 26mm Comment: The precordial leads also have high voltages: SV1 + RV6 or RV6 (Sokolow-Lyon index) > 35 mm. A voltage criteri
Atrial Septal Defect
Report:Sinus rhythm 94/min RSRâ in V1 Right precordial ST segment depression Comment: Over 90% of ASDs have an RSRâ pattern in V1; in time, this tends to became a proper RBBB. This is not of great diagnostic value, except when absent, in an ASD su
Mitral Stenosis
Report:Sinus rhythm 99/min Right axis deviation +125o Late transition (clockwise rotation) Left atrial abnormality Small voltage in frontal leads Comment:The combination of LAA and presumptive RVH (from RAD and clockwise rotation) is suggestive of mi
Pericarditis
Report:Sinus rhythm 85/min ST segment elevation suggestive of acute pericarditis LVH voltage RL2 > 15 mm Comment: The typically concave-upward ST elevation is so widespread and marked that the only differential diagnosis, early repolarisation, is mos