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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Long PR & Short QT on Digoxin Therapy
Report:Sinus rhythm 75/min Second degree AV block, Möbitz 1 (Wenckebach) Short QT interval 0.29â QTc 0.32â Diffuse nonspecific ST/T changes Consistent with digoxin effect and toxicity Comment:Hospital may be a dangerous place but I would not se
Giant T Wave Inversion: Cerebral Hæmorrhage
Report: Sinus rhythm Left anterior hemiblock Giant T wave inversion Comment: The patient, ever more rousable, started complaining of severe headache and a lumbar puncture136 showed blood and xanthochromia; she was transferred to the ICU. It is not an i
Giant T Wave Inversion After GA
Report: Sinus rhythm Left axis deviation Giant T wave inversion Comment: Schamroth rightly states that syncope is the preceding event in cases of giant T wave inversion. In this case (and only two others, in my experience) the only syncope had been tha
Global T Wave Inversion
Report: Sinus rhythm 65/min Global T wave inversion Prolonged QT interval 0.52â QTc for 65/min = 0.42â Comment: This healthy young woman arrested after administration of cocaine paste to the nose and injection of âsomeâ 1:200,000 adrenaline, d
Quinidine: Long QT Interval
Report: Sinus rhythm 82/min Widespread T wave inversion Prolonged QT interval 0.62â QTc for 82/min = 0.37â Comment: This degree of QT prolongation is unusual. The prolongation is idiosyncratic in susceptible individuals and bears little relation t
Myopericarditis
Report: Sinus rhythm Global T wave inversion c/c infarction/ischæmia Comment: The T waves show deep, if somewhat asymmetrical, inversion. The pain continued and was, at times, severe. Propranolol and nitrates did not help. As the T waves deepened furth
MyxÅdema
Report: Sinus rhythm 67/min PR interval 0.22â Small voltage, frontal leads Borderline QT prolongation Comment: This is a rather unremarkable trace. The patient, however, had severe myxoedema, bordering on coma. One should not look to ECG for signs o
Pericarditis Post-Lobectomy
Report: Sinus rhythm 98/min Anterolateral ST segment elevation consistent with pericarditis Possible old inferior infarction Leads aVL and aVF are âreversedâ (mismounted) Lead V1 vertically displaced. Comment: The pattern remained unchanged over
Sudden Death During Holter Monitoring
Report: Supraventricular and ventricular bigeminy Prolonged QT interval (0.64â) Multiform, probably torsade de pointes, ventricular tachycardia Comment: This patient was on digoxin and quinidine. The final (and fatal) paroxysm is initiated by a late
Hypokalæmia: Large TU Waves
Report: Sinus rhythm Large TU waves consistent with hypokalæmia Comment: Normally, T waves become flat and the U waves increase in amplitude with hypokalæmia; occasionally, T waves remain upright and merge with U waves to produce striking TU waves lik