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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
S1S2S3 Pattern
Report: Sinus rhythm Borderline biatrial abnormality Indeterminate axis 200o S1S2S3 pattern RSRâ V1 Comment: The diagnosis of S1S2S3 pattern requires, strictly speaking, S wave larger than the corresponding R wave in the three standard leads, as in
Mitral Stenosis?
Report: Sinus rhythm Left atrial abnormality P axis â30o Right axis deviation +120o Incomplete right bundle branch block QRS 0.10â Comment: The trace suggests mitral stenosis. The LAA (true P mitrale in this case) is marked, both as increased P-
Right Ventricular Hypertrophy: Scleroderma
Report: Sinus rhythm Probable RAA Right axis deviation + 130o qRV1 Right ventricular hypertrophy Comment: The qR morphology of V1 is, by itself, evidence for right atrial enlargement as well as RVH; the prominent monophasic P in V2 supports it and in
Brain Waves
Report: Sinus rhythm 90/min Prominent T waves Prolonged QT interval Comment: The patient became brain dead soon after this trace was taken, from a massive subarachnoid hæmorrhage. The âcerebralâ repolarisation changes are most specific with giant
Paced Tricuspid Atresia
Report:Atrial pacemaker rhythm 111/min Left axis deviation â60o Left ventricular hypertrophy with ST/T changes Comment:The child had Fontan repair119 (atriopulmonary connection) in infancy. His combination of LVH and LAD is characteristic of tricus
Hyperkalæmia
Report: Sinus rhythm ST/T changes consistent with hyperkalæmia Comment: The T waves are peaked, tall and narrow, tent-shaped with soupçon of a waist â typical of hyperkalæmia. The ST segments are elevated in several leads, reflecting the dialyzable
Acute Cor Pulmonale
Report: Sinus rhythm S1Q3T3 (McGinn-White) pattern Anteroseptal T wave inversion consistent with right ventricular strain Comment: Tachycardia is not invariably present, especially with massive or submassive embolisation. This patient, like many others
LVH Voltage: Mitral Incompetence
Report: Sinus rhythm VEB Left ventricular hypertrophy voltage Comment: The voltage criteria are present in both the frontal and the precordial leads, making a false positive diagnosis of LVH unlikely. In the frontal leads, R wave in Lead 2 is considera
Romano-Ward Syndrome
Report: Sinus rhythm 54 - 64/min Prolonged QT interval 0.56â Upper limit of normal for rate 57/min 0.41â Comment: The only abnormality is the long QT interval. The Romano121-Ward122 syndrome is similar to Jervell and Lange-Nielsen syndrome123, but
Electrical Interference
Report:Sinus rhythm Probable electrical interference ?origin Borderline ST/T changes aVL & aVF Suggest repeat Comment:It is tempting to ascribe the striking artefact to some kind of electrical stimulator used for the patientâs spasticity. The freq