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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
RVH: Chronic Cor Pulmonale in COAD
Report:Sinus rhythm 93/min Right axis deviation +110o Right atrial abnormality P axis + 80o Right ventricular hypertrophy Comment:The entire trace is, in fact, in favour of RVH: the RAD and the RAA as much as the qR morphology of V1 and the precordi
Ostium Primum ASD
Report:Sinus tachycardia 137/min (up to 133/min normal for below 4 years) Left axis deviation â60o Possible RVH (5mm R wave in V1 after 6 months of age) Comment:The rRâ in V1 is consistent with but not diagnostic of RVH: it can always be an RSRâ
IVCD - Tricyclic Overdose
Report:Sinus tachycardia 118/min Right axis deviation +110o Intraventricular conduction delay Mildly prolonged QTc (QT 0.33â, QTc 0.46â) Comment:This is a fairly typical trace of a tricyclic overdose. The IVCD pattern suggests RBBB, but the QRS pr
Post-CABG ST Segment Elevation
Report:Sinus tachycardia 112/min Diffuse ST segment elevation consistent with pericarditis Comment:This is indistinguishable from acute pericarditis, down to PR segment displacement. Yet it is difficult to name it â it is obviously a different species
Ischæmic Giant T Wave Inversion
Report:Sinus rhythm Borderline first degree AV block PR 0.22â Incomplete left bundle branch block QRS 0.12â Deep T wave inversion consistent with infarction/ischæmia Prolonged QTc 0.52â Comment:The patient had severe multivessel disease, wit
Left Ventricular Diastolic (Volume) Overload
Report:Sinus rhythm Left atrial abnormality First degree AV block Early transition Left ventricular hypertrophy, volume overload type Comment:The upright T waves tend to remain upright for a long time on volume overload LVH; eventually they come down
Katz-Wachtel Phenomenon: TGA
Report:Sinus rhythm 150/min (8 â 30 days: 115 â 190 normal rates) Right atrial abnormality Right ventricular hypertrophy Positive T wave in V1 Probable biventricular hypertrophy Katz-Wachtel phenomenon Comment:The infant had transposition of th
Acute Cor Pulmonale
Report: Supraventricular tachycardia, probably sinus, 160/min Right axis deviation +95o Small voltage Right bundle branch block Borderline T wave changes Comment: The rhythm strip from a later trace is superimposed over the original one to show the p
Katz-Wachtel Phenomenon
Report:Sinus rhythm 71/min Axis +100o (normal for 9 years) Katz-Wachtel phenomenon â biventricular hypertrophy Comment:QR in V1 strongly suggests RVH, but the frontal axis, although rightward, remains within normal limits for age. This may be due to
Acute Cor Pulmonale
Report: Sinus tachycardia 100/min VEB S1Q3T3 (McGinn-White) pattern QRV1 Consistent with acute cor pulmonale Comment: This is a classical picture of acute pulmonary embolism, but things are not always what they seem! The patient had advanced chronic