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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Early Repolarisation â Inferior Leads
Report: Sinus arrhythmia 44 - 66/min Early repolarisation normal variant Comment: The ST segment elevation in the inferior leads is preceded by a characteristic notch. The trace is otherwise normal. It remained stable over several days (Fig 180a below).
Tape Speed Artefact
Report: Normal sinus rhythm Speed artefact Comment: Speeding up the tape has the same effect on the trace as slowing down the paper speed during a recording. The Cardiologist operating the Holter did this deliberately for my benefit, in 1976. I was take
V1 Inversion: Doubly True Posterior Infarct
Report: Sinus rhythm Old inferolateral infarction Early transition Probable posterior infarction Lead V1 mounted upside-down Comment: There are pathological Q waves in the inferior leads and V6, evidence of inferolateral infarction. In this context,
Pericarditis
Report: Sinus rhythm 97/min Diffuse ST segment elevation suggestive of acute pericarditis Comment: The trace in very suggestive of acute pericarditis. The timid report of âinferior wall ischæmiaâ is preserved for studentsâ education. It became qu
Unread Pre-Discharge ECG
Report: Sinus rhythm 58/min Left axis deviation - 50o Intraventricular conduction defect (IVCD) Probably LAHB + non-specific conduction delay Possible LVH Giant anteroseptal T wave inversion Prolonged QT interval 0.660â (QTc for 58/min 0.45â)
Agonal ST Segment Elevation
Report: Supraventricular rhythm of uncertain origin Sinus rhythm, with sinus arrests Probable junctional rhythm Progressive ST segment elevation Asystole Comment: Initial ST depression, followed by elevation, is quite common terminal event. Presumabl
S1Q3T3 Pattern: Pulmonary Embolism
Report: Sinus tachycardia 152/min Normal axis +70o S1Q3T3 (McGinn-White) pattern of acute cor pulmonale Comment: This patient had the full hand: predisposing thrombophlebitis, left pleuritic chest pain, dyspnÅa, shock, clear CXR, hypoxæmia on 15 L/mi
Myocardial Infarction and Cerebral Hæmorrhage
Report: Sinus tachycardia Left anterior hemiblock Left ventricular hypertrophy Acute anterior infarction Comment: The pattern is indistinguishable from that of acute myocardial infarction. There was, however, no other evidence for it, in life or at au
Cytochrome Oxidase Deficiency (Mitochondrial Myopathy)
Report: Sinus rhythm 118/min Left anterior hemiblock Axis -40o Comment:Rates up to 163/min are below the âtachycardiaâ range for infants up to 2 years. RSRâ pattern as seen here in V1-2 is also normal, at any age. Left axis deviation, however,
Pheochromocytoma Crisis
Report:Sinus rhythm 54/min Short PR interval 0.10â Global T wave inversion Prolonged QT interval 0.56â Qtc for 54/min = 0.47â Comment: The striking T wave inversion, like that caused by its âcerebralâ counterpart, is caused by a catecholami