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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Acute Inferior Infarction
Report: Sinus rhythm 60/min PR interval 0.22â Acute inferior infarction Comment: This is a very early stage, with inferior T waves still large and upright. The ST segment is markedly displaced (6 mm elevation in Lead 3) in both the indicative and the
Junctional Rhythm: Acute Anterior Infarction
Report: Junctional rhythm 60/min Right bundle branch block Borderline left axis deviation â 30o Extensive acute anterior infarction Comment: Atrial activity is most apparent in V1, where a spiky positive P wave precedes the QRS by 0.08â. Patients
Massive âReciprocalâ Changes
Report: Sinus rhythm PR interval 0.20â Acute lateral infarction Widespread reciprocal ST segment depression Comment: It never, of course, quite certain how much of the ST depression is indeed reciprocal to the puny elevation in aVL and how much is i
Hyperacute Anterior Infarction
Report:Sinus rhythm 70 â 74/min (Hyper)acute anterior infarction Comment:The term hyperacute is frowned at by some, but it does have reasonable economy of expression and definitional specificity in referring to early infarction predominantly manifest
Nonspecific ST/T Changes
Report:Sinus rhythm 58/min VEB Post-ectopic SA depression Borderline left axis deviation -30o Early transition with RSRâ pattern in V1 Diffuse nonspecific ST/T changes, consistent with ischæmia Comment:The T waves are flat and the ST segments up
Acute Inferior Infarct â L Circumflex Occlusion
Report:Sinus tachycardia 112/min Acute inferolateral infarction Comment:This trace has three major criteria favouring left circumflex artery over RCA as the culprit vessel. 1. The reciprocal changes in aVL but not in 1 denote the left circumflex as the
Pericardial Tamponade: Electrical Alternans
Report:Sinus tachycardia 111/min Small voltage Electrical alternans Comment:Alternate QRS complexes vary in size, in this case due to the heart swinging in the pericardial sac. There is no mechanical counterpart, but there may be alternation of the hea
Giant T Wave Inversion
Report:Sinus rhythm 74/min Advanced second degree AV block Idioventricular rhythm 38/min Giant T wave inversion Prolonged QT interval QTc 0.60â Comment:The tracing is virtually pathognomonic of a preceding Stokes-Adams attack. The T waves are larg
Acute Cor Pulmonale
Report:Sinus tachycardia 113/min S1Q3T3 (McGinn-White) pattern Incomplete right bundle branch block Right precordial T wave inversion & ST segment depression Consistent with acute cor pulmonale Comment:The classical S1Q3T3 (McGinn-White) pattern of s
CVA Mimics Anterior MI
Report:Sinus rhythm 93/min PR interval 0.09â Acute anterior infarction/ischæmia Also consistent with CVA Comment:This is a relatively frequent occurrence in severe brain injury from any cause; cerebral hæmorrhage is the leading cause at the Canber