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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
SDS in HOCM
Report:Sinus rhythm. Left atrial abnormality . Left ventricular hypertrophy with ST/T changes. Comment:Theoretically, the LAA and the ST/T changes could be a consequence of previous tachyarrhythmia (the "post-tachycardia syndrome"), and the LVH could b
Truncal Vagotomy and the T Wave
Report:Sinus ? atrial rhythm. Borderline left axis deviation -30o LVH voltage. Incomplete RBBB. Non-specific ST/T changes. Comment:The ST/T changes are non-specific (they always are) but the "widely splayed" T wave inversion, most marked in anterosep
Electrocardiographically Discrete Tamponade
Report:Sinus rhythm. Normal axis Left atrial abnormality Left ventricular hypertrophy with ST/T changes Comment:On reflection, not two, but three things are missing: tachycardia, signs of pericardial involvement (pericarditis) and small voltage. Elect
Mitral Incompetence: LV Volume Overload
Report:Sinus rhythm. Left atrial abnormality Normal axis. Left ventricular hypertrophy with volume overload pattern. Comment:Tall prominent T waves and, later, merely upright ones, constitute the LV volume, or diastolic, overload pattern. It can only
Mitral Stenosis
Report:Sinus rhythm. Left atrial abnormality (LAA.) Probable right atrial enlargement. Right axis deviation. Probable right ventricular hypertrophy. Prolonged QT interval. Comment:This is one of those ECGs that delight the reporter, making him feel
Hypokalæmia: Long QTc or QU
Report:Sinus rhythm 87/min Diffuse ST/T changes Long QT interval 0.48â QTc 0.50â CommentIt is practically impossible to tell QT from QU here. The patient was known, however, to have potassium 1.9 mEq/L, with normal calcium and magnesium. According
Hyperkalæmia: IVCD
Report:Broad complex rhythm of uncertain origin 68/min. Possible sinoventricular conduction with intraventricular conduction defect. Peaked T waves. Trace suggestive of hyperkalæmia. Comment:The absent P waves, widened QRS and the tall, peaked T wave
Pulmonary Embolism: McGinn-White Pattern
Report: Sinus rhythm 90/min Right axis deviation +110o S1Q3T3 (McGinn-White) pattern consistent with acute cor pulmonale qR V1 and anteroseptal ST/T changes consistent with right ventricular "strain" Comment: The q in V1 may be a sign of right atrial
Phasic T Wave Inversion
Report: Sinus arrhythmia Respiratory swing of QRS & T wave axis Comment: This is not uncommonly seen in right precordial leads, including the monitor leads. It may be significant if only one or two cycles are recorded on a 12-lead ECG. See Case 211. 23
Movement Artefact Simulating VEBs
Report:Sinus rhythm 80/min Within normal limits Movement artefact in simultaneous V4-6 & V1 strip Comment:The computer diagnosed a (single) VEB. If there were a single VEB, it would have been about 0.56â in duration! It is easy to see, once thought