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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
LBBB & Hyperkalæmia
Report: Junctional rhythm 57/min VEBs Left axis deviation Left bundle branch block Tall T waves consistent with hyperkalæmia Comment: The QRS narrowed to a left anterior hemiblock and the T waves normalised as potassium level came under control (Fig
Dextrocardia with RBBB
Report: Sinus rhythm Mirror-image dextrocardia Right bundle branch block Nonspecific ST/T changes Comment: The precordial sequence gives the diagnosis. In the (much commoner) situation of technical armsâ lead reversal153, the V leads are unaffected.
Cor Pulmonale: RVH with RBBB
Pre-Transplant Fibrosing AlveolitisReport:Sinus rhythm. Borderline first degree AV block (PR 0.20"). Right atrial abnormality ? biatrial enlargement. Right axis deviation Right bundle branch block. Right ventricular hypertrophy Comment:The tendency
CVA: Anterolateral ST Segment Elevation
Report:Atrial fibrillation with rapid ventricular response. VEB. Anterolateral ST segment elevation consistent with MI or ischæmia. Left ventricular hypertrophy. Comment:The patient had no clinical evidence of MI. Note the reciprocal - discrete but d
Short QTc in Diltiezam Overdose
Report:Junctional rhythm 56/min Short QT interval 0.36â QTc 0.35â Lead V2 missing Possible old inferior infarction. Comment:The cause of QT interval shortening is iatrogenic32 hypercalcæmia induced by calcium infusion for diltiezam overdose hypo
Atrial Transport: Pressure Recording
Report:Ectopic tachycardia (unspecified, possibly aberrant NPJT or VT) 120/min. Sinus tachycardia 100/min. Comment:The nature of the faster rhythm is difficult to establish on this diagnostically unfavourable strip. A similar run shown below on this pag
Hypocalcæmia in Painless Pancreatitis
Report:Sinus rhythm. LVH voltage. Non-specific T wave changes 1 & aVL. Prolonged QT interval 0.53". Q3 and borderline ST segment elevation 2, 3, aVF. Comment:This was an unusual presentation of acute pancreatitis (proven by means of a CAT scan) prese
The Good News and the Bad News
Report:Sinus rhythm. LVH voltage. Comment:The bad news is that the patient was thought to have acute myocardial infarction and was given routine streptokinase infusion, resulting in a hæmorrhagic stroke. He was transferred to WVH later for rehabilitati
Post-Lobectomy Pericarditis[!xe "Pericarditis:post-thoracotomy" \i!]
Report: Sinus rhythm. SVEB (penultimate beat in the trace). ST segment elevation consistent with pericarditis.[!xe "ST segment:elevation:pericarditis" \i!] Possible LVH. Comment:The ST segment elevation is common after thoracotomy and usually has no c
P Wave or T Wave?
Report:Sinus bradycardia 37/min. Left atrial abnormality . First degree AV block. Left bundle branch block Comment:The T wave is peaked and sharply demarcated from the preceding ST segment, mimicking a P' wave. Sequential strips (Fig 224a below) gradu