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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Inferior Infarction and AIVR
Report:Sinus rhythm & arrhythmia 80/min Accelerated idioventricular rhythm 80/min Retrograde conduction Fusion beat (third last complex) Acute inferior infarction Comment:The sinus cycle lengthens over the first three beats, allowing the AIVR to take
Reversible Katz-Wachtel Phenomenon
Report:Sinus rhythm 160/min Katz-Wachtel phenomenon â biventricular hypertrophy Comment:Here the evidence for RVH is confined to the upright T wave in V1 (abnormal from 4 days to 4 years) and for LVH to the sum of SV1 + RV5 voltages > 45 mm. However,
Ischæmic ST Segment Depression
Report:Sinus rhythm 88/min ST/T changes suggestive of ischæmia Comment:In a person with chest pain (or equivalent â women have a lot of those55) this ECG is diagnostic. There are plane, slowly rising, or downsloping ST segments in many leads and elev
Inferior MI Reperfusion â Fascicular VT
Report:Ventricular tachycardia 156/min/min Probable inferior infarction Comment:The rhythm was sufficiently irregular for the computer to classify it as AF with borderline IVCD. It becomes more regular, however, just after the middle of the trace and en
Old and New Anterolateral MI with RBBB
Report:Sinus rhythm 70/min Right axis deviation (RAD) +100o Right bundle branch block Acute anterolateral + inferior infarction Comment:Three years previously, the patient was in CCU with known old anterolateral MI and chronic RBBB (Fig 79a). He was t
Right Ventricular Infarction
Report:Junctional rhythm 44/min Acute inferior infarction Right ventricular infarction Comment:The patientâs shock may well be due to a large infarction, but this is not, electrocardiographically, visible in inferior infarcts unless the reciprocal ch
Inferior Infarction: Blocks and Arrhythmias
Report:Sinus tachycardia 122/min Second degree AV block, unspecified Junctional escape beats and rhythm 46/min Non-phasic aberrant conduction Acute inferior infarction Comment:It is said that the presence of 2o AV block in inferior infarction denotes
Acute Inferior Infarction: AIVR
Report:Sinus rhythm Accelerated idioventricular rhythm 88/min Acute inferior infarction Comment:There are only three sinus captures present, just enough to make the diagnosis. The computer diagnosed LBBB with âmarked ST elevation â possibly due to
Bigeminal AIVR: Inferoposterolateral MI
Report:Sinus bradycardia (rate uncertain) Accelerated idioventricular rhythm 77/min Bigeminy ? exit block Nonspecific ST/T changes Comment:The infarction cannot of course be diagnosed in the original tracing and what was left of its evidence after ang
Anterior MI: Bigeminal VEBs with Retrograde Conduction
Report:Sinus rhythm 56 â 64/min Left atrial abnormality (LAA) VEBs, bigeminal Retrograde VA conduction Acute anterior infarction Comment:It would be redundant to report poor R wave progression in the face of obvious anterior infarction (the compute