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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Mixed Mitral Valve Disease
Report:Sinus rhythm 55/min SVEB, LBBB aberrancy Left atrial abnormality Borderline right axis deviation +90o Borderline low voltage in frontal leads LVH voltage chest leads Nonspecific ST/T changes Comment:The picture would be that of mitral stenos
Emphysema: Left Axis Deviation
Report:Sinus tachycardia Right atrial abnormality Left axis deviation â40o Possible old anterior infarction Suggestive of emphysema Comment:Characteristically, S2 > S3 in LAD due to emphysema vis à vis LAHB. Some argue this is not a true LAD but a
Crochetage
Report:Sinus rhythm 91/min SVEBs Right atrial abnormality P > 2mm in V2 Right axis deviation +112o Right ventricular hypertrophy qR V2 + RAD Comment:This is a very interesting case in that her ASD was discovered in the course of a CABG procedure: t
Prominent U Wave
Report:Sinus rhythm 54/min Prominent U wave Comment:After four vodkas and a tequila with some amphetamines at Year 12 formal, she vomited 14 times and came to Casualty with palpitations and headache. Her potassium was only mildly reduced at 3.3 mEq/L; t
LVH with ST/T Changes
Report:Sinus rhythm 84/min Three SVEBs in bigeminy LBBB aberrancy Left ventricular hypertrophy with ST/T changes Left atrial abnormality ST/T changes also suggestive of ischæmia Possible old anteroseptal infarction Comment:In old patients with aor
Absolute Small Voltage
Report:Supraventricular tachycardia, possibly sinus, 146/min Absolute small voltage QRS < 5 mm frontal, < 10 mm chest leads Diffuse ST segment depression c/c infarction/ischæmia Comment:Some of the best examples of âischæmicâ ST segment depressi
Pædiatric LAD & LVH: Tricuspid Atresia
Report:Sinus rhythm 160/min Right atrial abnormality, P congenitale type Left axis deviation â30o (for age: 0o - -90o) Left ventricular hypertrophy Comment:The infant had a systemic-pulmonary artery shunt and was doing well clinically. The striking
Transposition: Biventricular Hypertrophy
Report:Sinus rhythm 76/min Borderline first degree AV block PR 0.18â Right atrial abnormality, P congenitale type Right bundle branch block Right ventricular hypertrophy QRV1 + RAA Biventricular hypertrophy Katz-Wachtel phenomenon Comment:Again
Hypercalcæmia
Report:Sinus rhythm 89/min Short QT interval c/c hypercalcæmia Comment:The actual QT measurement, just over 0.30â, yields a QTc of 0.38â â not a useful tool in a patient with calcium 4.64 mmol/L. Marriott suggest measuring the interval to the ape
Holter-Monitored Sudden Death
Report:Sinus bradycardia 32/min (12.5 mm/sec recording) Asystole Comment:The patient had a routine Holter âto exclude AFâ for a recent occipital CVA and was found dead in his bed. It is not always possible to ascertain whether the death was cardiac