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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Left Main Coronary Artery Lesion
Report: Sinus rhythm First degree AV block PR 0.22" ST/T changes consistent with acute coronary insufficiency Comment: The ECG gradually normalised over the next five hours (Fig 100a); the CPK levels remained normal. Cardiac catheter demonstrated 95
Acute Anteroseptal Infarction
Report:Sinus rhythm 72/min Acute anteroseptal infarction Leads V1 and V3 transposed Comment:The biphasic P wave in the displaced V1 indicates that the lead is in correct position (on the patient). There are new Q waves in V1 and V2, with ST segment ele
Acute Posterior Infarction
Report:Sinus rhythm 80/min ST segment depression c/c MI/ischæmia Probable acute posterior infarction Comment:One can never be completely sure. Marked septal ST depression is a feature of uncommonly observed septal ischæmia or, as a reciprocal change,
Marked Post-Thoracotomy ST Elevation
Report:Sinus rhythm 77/min Left ventricular hypertrophy voltage ST segment elevation c/c pericarditis or ischæmia Tall T waves ? ischæmic or hyperkalæmic Comment:What makes the trace suspicious is the combination of ST elevation and tall T waves. T
Anterior + Inferior MI
Report: Sinus rhythm Left atrial abnormality (LAA) Borderline first degree AV block Left axis deviation (LAD) â 60o Left anterior hemiblock (LAHB) Incomplete right bundle branch block (RBBB) Extensive acute anterior myocardial infarction Acute in
Coronary Spasm in Septic Shock
Report:Top strip: Sinus tachycardia 117/min Strips 2-5: Sinus rhythm 53/min (2nd strip) â 61/min (bottom) 1o and progressive 2o AV block Junctional escape beats Markes ST segment elevation consistent with acute infarction or ischæmia Comment:In
ST Depression Myocardial Infarction
Report:Sinus rhythm 97/min Possible LVH ST segment depression consistent with infarction/ischaemia Comment:This is the worst ECG presentation for acute infarction â worse than T wave inversion or ST segment elevation77. The pattern is, in fact, that
Normal ECG in Critical Triple Vessel Disease
Report:Normal trace Comment:This old (1975 again) trace is remarkable in that its owner had critical triple vessel disease, like the patient in Fig 106b. There were a lot of collaterals. The lesson is obvious. 108. 61 year old man with severe angina pec
Negative U Waves in Left Circumflex Artery Disease
Report:Atrial rhythm 47/min Nonspecific T wave changes & small voltage in frontal leads Negative U waves consistent with coronary artery disease Comment:To tell the truth, the initial report stated âconsistent with LAD artery diseaseâ but I heard b
Obscure ST Segment Elevation
Report: Sinus rhythm Diffuse ST segment elevation Possible ischæmia Comment: The changes occurred following the aminophylline-induced tachycardia (Fig 129a below). The prominent T waves also suggest ischæmia, but there was no reason to suspect it oth