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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Agonal Hyperkalæmia
Report: Top two strips: Atrial fibrillation with rapid response.Ventricular tachycardia, non-sustained Third strip: Ventricular tachycardia 146/min ?retrograde conduction Fourth strip: Sinus tachycardia 130/min Fifth strip: Sinus bradycardia 40/min
TachypnÅa
Report: Supraventricular tachycardia, probably sinus, 108/min Respiratory movement artefact 39 - 44/min Comment: The marked respiratory movement virtually invalidates ECG monitoring. The same would happen to pulmonary artery pressure trace. A side benef
Normal Trace
Report: Sinus rhythm Normal axis Semivertical heart position Normal trace Comment: This was a disappointingly normal trace. Note the normal âseptalâ q wave in lead V6 - the sign of initial left-to-right depolarisation across the septum. I advised
CVC Straightened in the Right Innominate Vein
Report:Sinus rhythm 82/min (top) SVEBs, some in runs (middle) SVEBs, some aberrant & run of multiform VT (bottom) Comment:This is surprisingly common, but the âincriminatingâ strips are rarely kept. The VT run appears right ventricular in origin,
Agonal Twist
Report: Sinus tachycardia 157/min (top) Progressive intraventricular conduction delay, RBBB type Torsade de pointes ventricular tachycardia 150 - 175/min (bottom) Comment: The designation of this as torsade de pointes is, perhaps, twisting the point a
The P-on-U Effect
HypokalæmiaReport: Sinus tachycardia 135/min Non-specific ST/T changes Prominent U waves Consistent with hypokalæmia Comment: As stated earlier, the pun is Schamrothâs174. This second example is to reward the fast learners. The large U wave is su
Calcium in Electromechanical Dissociation
Report: Supraventricular tachycardia, probably sinus, 180/min Third degree AV block Junctional escape rhythm 26/min Short QT interval consistent with hypercalcæmia Comment: Electromechanical dissociation (EMD) is not an ECG diagnosis. Sometimes the c
Sudden Death During Holter Monitoring
Aortic StenosisReport: Top: Sinus tachycardia 112/min VEBs, frequent, multiform, some in couplets Second strip: Sinus arrhythmia 100 - 64/min Marked ST segment depression consistent with ischæmia Third strip: Sinus arrest Junctional escape rhythm
Peaked Waves After Head Injury
Report:Sinus rhythm 80/min Borderline right axis deviation +90o Right atrial abnormality Tall peaked T waves ?cause Prolonged QT interval QTc 0.50â Comment:The T waves are, of course, typical of hyperkalæmia: narrow-based, tall and peaked. There
Agonal Junctional Tachycardia
Report: Sinus bradycardia Junctional tachycardia AV dissociation VEBs, bigeminy (below) Second degree AV block, 2:1 (middle strip) Third degree AV block, ventricular standstill (Agonal) ST segment elevation Comment: The last part of a normal human