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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Anterior Infarction: âTrifascicularâ Block
Report:Sinus rhythm 99/min First degree AV block PR interval 0.28â Right bundle branch block Left anterior hemiblock Axis â85o Extensive acute anterior infarction Comment:The term âtrifascicularâ is a misnomer â irresistible to some â b
Lateral Infarction
Report:Sinus rhythm 73/min Acute (high) lateral infarction Comment:There is (typically) discrete but in this case quite definite ST segment elevation in the lateral leads 1 and aVL. Reciprocal depression is (again, typically) even more prominent in 3 an
Inferior MI, VEBs & Persistent Wenckebach
Report:Sinus tachycardia 104/min VEBs, frequent, multiform Second degree AV block, Möbitz 1 (Wenckebach) Late transition Nonspecific intraventricular conduction delay (IVCD) Acute inferior infarction Anterolateral ST/T changes c/w MI/ischæmia Co
Inferolateral Infarction & LBBB
Report:Sinus rhythm 88/min Left bundle branch block Acute inferolateral infarction Comment:Unlike the previous caseâs IVCD, this one shows typical LBBB, with sharp S descent and slower ascent in V1. Despite this, there is a concordant ST segment elev
Acute Lateral Infarction
Report:Sinus rhythm 95/min Acute lateral infarction Comment:There is an obvious acute (with upright T waves) ST segment elevation in the (high) lateral leads 1 and aVL with reciprocal changes in the inferior leads. Lead 2 shows only slight depression be
Anterior Infarction, LBBB & Its Escape Rhythm
Report:Fig 89: Sinus rhythm 76/min Borderline LAA LVH with ST/T changes Anterior infarction ?age Fig 89a (24 hours later): Sinus rhythm 74/min Alternating complete & incomplete left bundle branch block Primary T wave changes Fig 89b (an hour late
Acute Anterior MI: Frequent R-on-T VEBs
Report:Sinus rhythm 64/min Frequent R-on-T VEBs Extensive acute anterior infarction Comment:This VEB density (a Holter term) would have evoked xylocaine reflex4 until quite recently. Lown Class V ventricular ectopic activity5 even more so. However, in
Old Anteroseptal MI & BBBB
Report:Atrial fibrillation with rapid response 160/mi9n Right bundle branch block Left anterior hemiblock Standard masquerading bundle branch block Old anteroseptal infarction Comment:In 1 and aVL the QRS resembles LBBB rather than RBBB, a situation
Positive Exercise Test
Report:Early ST segment depression consistent with severe ischæmia Comment:The peak exercise attained a rate of 152/min just before the end of Stage 1 (Bruce protocol); the diastolic pressure rose from 100 to 105 mmHg; most importantly, the patient repo
Tombstones in V2
Report:Sinus rhythm 80/min Acute anterior infarction Comment:The pattern in V2 is as good a picture of tombstones or tombstoning as it gets. It is somewhat unusual to see it in only one lead. Tombstones are most commonly seen between leads V2 and V466.T