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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Sarcoidosis
Report:Sinus tachycardia 118/min PR interval 0.20â Right axis deviation Alternating (2:1) right bundle branch block Nonspecific ST/T changes Possible lateral infarction ?age Comment: The tracing, of course, provides scant clues to its provenance.
Thromboembolic Pulmonary Hypertension
Report:Sinus tachycardia 110/min Right atrial abnormality Right axis deviation +160o Right ventricular hypertrophy with ST/T changes Suggestive of cor pulmonale Comment:Everything supports RVH here. This one has a relatively unusual ætiology: chroni
Hyperventilation in Anxiety Attack
ReportSinus tachycardia 144/min Right axis deviation +95o, borderline for age Right atrial abnormality Late transition Nonspecific ST/T changes Comment: The ECG is also consistent with cor pulmonale. Tachycardia per se increases the amplitude of the
Brugada Morphology
Report:Sinus rhythm 80/min Left axis deviation â 35o Nonspecific T wave changes 3, aVF, V5-6 V1-2 ST elevation c/c Brugadaâs syndrome Comment: This is a not infrequent problem in Casualty (see also Case 17): what to do with a patient whose ECG ha
Absolute Small Voltage in Anasarca
Report:S tachycardia 111/min Absolute small voltage Poor R wave progression Comment:While frontal leadsâ small voltage is too common to have great clinical significance, absolute small voltage is always pathological. Curiously, students almost invari
LVH Voltage Despite Old Infarctions
Report:Sinus rhythm 92/min PR interval 0.20â LVH voltage (RL1 >20 mm, etc) Old anterior infarction Old inferior infarction Comment:Although the commonest cause of small voltage are large or multiple infarctions, the latter may coexist with large vo
Myocarditis: the Cascade Effect
Report:Sinus tachycardia 122/min First degree AV block PR interval 0.22â Left anterior hemiblock Right bundle branch block ST/T changes c/c anteroseptal infarction or myocarditis Comment: Sinus P waves are best seen at the end of the T wave in th
Ebsteinâs Anomaly
Report:Sinus rhythm 152/min Right axis deviation +140o Incomplete right bundle branch block Probable right ventricular hypertrophy QRV1, RAD Comment: This is one of the ECG forms of Ebsteinâs anomaly; most of them have a relatively small, somewhat
Thromboembolic Pulmonary Hypertension
Report:Sinus tachycardia 100/min Right axis deviation +100o Right ventricular hypertrophy Comment: The evidence here is qR in V1, RAD and clockwise rotation; P wave is normal. She had a giant RV and died in low-output heart failure, the worst kind. 4
Inverted P Wave in Lead 1
Report:Sinus rhythm 97/min Inverted P wave in L1 ?cause P axis +100o Left ventricular hypertrophy voltage Comment: In L1 atrial deflections are biphasic, mostly negative; elsewhere the P wave, while atypical, would pass muster were it not for the L1