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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Hypomagnesæmia Torsades
Report:Sinus rhythm 51/min Prolonged QT interval 0.56â QTc 0.52â Comment:The patient had several admissions with alcohol-related illnesses, all of which featured hypokalæmia, hypomagnesæmia or both, with corresponding repolarisation abnormalities
Holter: Artefact Mime of VT
Report:Sinus rhythm VEBs, multiform, one dimorphic couplet (bottom panel) Movement artefact 295/min, uncertain origin Comment:The ârunâ in the top panel has an unlikely fast rate of almost 300/min, but it looks scary, especially in a patient fitted
COCM: Trifascicular Block
Report:Sinus rhythm 84 - 94/min Left atrial abnormality First degree AV block Right bundle branch block Right axis deviation +125o ?Left posterior hemiblock ?Right ventricular hypertrophy Left ventricular hypertrophy voltage Limb lead R wave > 20
Another Lead 2 Problem: Narrow Pacemaker Escapes
Report:Sinus bradycardia 38/min Left atrial abnormality Pacemaker escape beats Escape-capture bigeminy ST/T changes c/c ischæmia Comment:Lead 2 rhythm strip (misprinted as lead 1 â we had a machine that always did it) shows narrow paced beats at s
Disappearing P Waves
Report: Sinus rhythm Second degree AV block, Möbitz 1 Comment:The P waves come to be superimposed on T waves as the PR intervals lengthen. Strange to say, this merger of superimposed waves has come to be called fusion by some cardiologists34. The less
Left Atrial Abnormality
Report:Sinus rhythm 74/min Left atrial abnormality Second degree AV block, Möbitz 2 (Wenckebach) type 4:3 conduction, with trigeminy Horizontal heart position Nonspecific ST/T changes Comment:The P wave is 3 mm broad, with a 1 mm notch; in V1 the P
MyxÅdema Diagnosed on ECG
Report:Sinus rhythm 92/min Low voltage throughout (absolute small voltage)[! XE "Low voltage" \t "See Small voltage" !] Prolonged QT interval 0.40â QTc 0.48â Diffuse nonspecific T wave changes Comment:The patient was quite distressed post-laparot
LVH with Right Axis Deviation
Report:Sinus rhythm 86/min Right axis deviation +105o Left atrial abnormality Left ventricular hypertrophy with ST/T changes Probable biventricular hypertrophy Comment:The unusual combination of LVH (RV6 > RV5, LAA and typical repolarisation changes)
Noonanâs Syndrome
Report:Sinus rhythm 119/min Right axis deviation ± 180o Right ventricular hypertrophy voltage R/S < 1.2 in V6 (1 month â 15 yrs) Right ventricular hypertrophy T wave criterion Upright TV1 (5 days â 4 yrs) Probable right ventricular hypertrophy
Giant T Wave Inversion
Report: Sinus rhythm Giant T wave inversion Comment: The patient became brain dead soon after the tracing was obtained. The ECG is diagnostic of a cerebral event. The phenomenon of giant T wave inversion is discussed in her (and Case 190âs) case repor