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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Brugada Alarms
Report:Sinus rhythm 70/min Borderline left atrial abnormality Anteroseptal ST segment elevation Comment:The patient presented to Casualty following a syncopal attack and his ECG, especially in lead V2, showed a saddleback-type (type 2) ST segment eleva
Early Repolarisation â Inferior Leads[!xe "Early repolarisation:inferior leads" \b \i!]
Report: Sinus rhythm Borderline right axis deviation +90o ST elevation, inferior leads, consistent with early repolarisation Trace within normal limits[!xe "Normal ECG:early repolarisation" \b \i!] Comment: Early repolarisation is a mysterious variant
Pericarditis â T Wave Stage (Stage III)
Report: Sinus rhythm Nonspecific T wave changes Possible LVH RV6 > RV5 Comment: There is nothing to specifically point to pericarditis as the cause of this young manâs T wave flattening and inversion, but it is perfectly consistent with that diagnos
Itâs a Boy: Duchenne Muscular Dystrophy
Report: Sinus tachycardia 144/min Axis +90o Rs in V1 consistent with Erb-Duchenne (pseudohypertrophic) muscular dystrophy[!xe "Duchenne (pseudohypertrophic) muscular dystrophy" \b \i!] Comment: The characteristic feature of Duchenne dystrophy is the do
Global T Wave Inversion
Report: Sinus rhythm Global T wave inversion[!xe "T wave:inversion:global" \b \i!] Comment: The striking changes were associated with complete lack of any other evidence of myocardial damage (echocardiogram and cardiac enzymes, as well as a later stress
Nitroglycerin-Induced Giant T Wave Inversion
Report: Sinus rhythm Giant T wave inversion[!xe "T wave:inversion:giant:anginine syncope" \b \i!][!xe "Giant T wave inversion" \t "See T wave" \b \i!] Comment: As in the case of global T wave inversion, it is best to leave the report at that. I came to
Cor Pulmonale: COAD with MAT
Possible Run of MATReport: Sinus tachycardia 118/min Right atrial abnormality SVEBs, one blocked Probable run of multifocal atrial tachycardia (MAT) 170/min Probable LBBB aberrancy Right axis deviation +100o Left ventricular hypertrophy voltage Co
Pseudoephedrine Carditis
Report: Sinus rhythm 96/min Nonspecific ST/T changes Comment: The definite T wave inversion in multiple leads is consistent with sympathomimetic agentsâ toxicity. The tachycardia was already resolving at the time of this recording; the trace normalise
Cor Pulmonale: COAD
Report: Sinus tachycardia Right atrial abnormality Left atrial abnormality Right axis deviation +130o Possible left ventricular hypertrophy Nonspecific ST/T changes Comment: There is an obvious right axis and a P pulmonale with a right axis of its
LVH: COCM in Tuberous Sclerosis
Report:Sinus rhythm 148/min SVEBs, some aberrant Left ventricular hypertrophy with ST/T changes Comment:In epiloia â sclérose tuberéuse de Bourneville â LVH is mostly seen with evidence of CCF, like in this infant with fractional shortening of on