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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Tall Cerebral T Waves
Report: Sinus tachycardia Prominent T waves Nonspecific ST segment depression Prolonged QT interval Comment: This question can only mean something in a specific context. The context was one of eventually fatal cerebral Ådema associated with (?produce
LVH with Psedo P Pulmonale
Report: Sinus rhythm Left atrial abnormality Borderline RAA Left ventricular hypertrophy with ST/T changes Comment: The atrial abnormality is probably all left atrial in this setting. LVH is, at times, associated with apparent RAA, called pseudo P pul
Shifting Atrial Pacemaker
Report: Sinus rhythm SVEB Shifting atrial pacemaker Right atrial abnormality Right axis deviation + 130o Left ventricular hypertrophy voltage Possible biventricular hypertrophy Nonspecific T wave changes Comment: Obviously, the shifting pacemaker
Hyperkalæmia
Report:Sinus rhythm 94/min Intraventricular conduction delay (IVCD) QRS 0.14â Peaked T waves, possible hyperkalæmia Comment:Patients arresting in dialysis units are invariably treated for hyperkalæmia. On arrival to ICU, the potassium level was on
Global T Wave Inversion
Report: Sinus rhythm Global T wave inversion Lateral ST segment elevation Poor R wave progression Comment: The striking ECG changes bore no relationship to the patientâs symptoms. There was no evidence of infarction. The ECG normalised and, three we
Absolute Small Voltage
Report: Sinus rhythm Absolute small voltage Poor R wave progression Nonspecific ST/T changes Comment: The QRS amplitude is less than 0.5 mV (5 mm) in all the frontal plane leads and less than 1.0 mV in all the chest leads. The patient had been off st
P Congenitale
Report: Sinus rhythm First degree AV block PR 0.22â Right atrial abnormality P height 5 mm in lead 2 P wave height > 1.5 mm in V1 P congenitale P1 > P3 & P > 2.5 mm in a limb lead Right axis deviation +230o Probable right ventricular hypertroph
Mime of Mitral Stenosis
Report: Sinus rhythm Left atrial abnormality Possible right atrial abnormality Right axis deviation +95o Probable right ventricular hypertrophy (RVH) RAD, Qrs V1 Nonspecific ST/T changes Comment: The patient had restrictive cardiomyopathy of unkn
Hyperkalæmia
Report: Broad-complex rhythm of uncertain origin, 50/min Indeterminate axis Intraventricular conduction defect QRS 0.18â Repolarisation changes suggestive of hyperkalæmia Comment: The patientâs potassium level was probably over 9.0 mEq/L; the fi
Adenosine-Induced Autogain102
Report: Atrial flutter 320/min with 2:1 block Ventricular standstill (third strip) Continued atrial flutter Escape complexes of unknown origin Resumed 2:1 conduction of flutter (last two strips) Comment: At first the recording looks like the rare but