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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Lead 2 Monitoring
Report: Sinus rhythm P wave axis -30o Probable left ventricular hypertrophy Comment: Lead 2 was once the traditional monitoring lead. This was based on the fact that, if the P waves were - as they usually are - positive in all three standard leads, lea
Torsade de Pointes
Report: Sinus tachycardia 104/min First degree AV block (PR 0.25â) Borderline QTc prolongation (0.38â) VEBs, multiform Dimorphic couplet (beginning of bottom strip) Run of multiform ventricular tachycardia, probably torsade de pointes Comment: T
Epilepsy
Report: Sinus rhythm Movement artefact consistent with tremor or fitting Comment: The rapid regular rhythm of both episodes is beyond the power of most percussion physiotherapists; at any rate (or, better, at this rate!), the patient was fitting. Vibrat
Cerebral Mimicry of MI
Report: Sinus tachycardia 127/min Right atrial abnormality VEB Acute inferolateral (or, better, inferior + anterior) myocardial infarction Prolonged QT interval Comment: The last item, QT prolongation, is the only clue that this is not an ordinary my
WPW âAâ Conduction
Report: Sinus rhythm Right axis deviation[!xe "Right axis deviation :WPW" \b!] WPW type âAâ conduction Comment:Subjects (rather than patients) with asymptomatic WPW conduction on routine ECG have normal life expectancy; there is no indication to su
Sinus Bradycardia
Report:Sinus bradycardia 32/min Short QT interval QTc 0.31â Comment:Marked sinus bradycardia almost always signifies some form of sinoatrial block, often in the setting of sick sinus syndrome. The short QT interval is more interesting. The most like
RVH in Eisenmengerâs Syndrome
Report: Sinus rhythm Second degree AV block, Möbitz 1 Junctional escape beats Biatrial enlargement [!xe "Biatrial enlargement" \b!] Right axis deviation Right bundle branch block[!xe "Right bundle branch block:qRV1 in RVH" \b!] Probable right vent
QT Prolongation: Carbon Monoxide Coma
Report: Sinus rhythm Prolonged QT interval (0.65â)[!xe "QT interval:CO poisoning" \b!] Comment: The cerebral injury is reflected in the large, broad T waves and the associated QT interval prolongation. As a general rule of the thumb, the T waves shoul
U Waves
Report: Sinus rhythm Non-specific T wave changes Prominent U waves[!xe "U wave:hypokalæmia" \b!] Comment: The patient became hypokalæmic following hæmodialysis; she also had chronic hypocalcæmia. It is very difficult to measure the true QT interval
Fatal Acute Cor Pulmonale
Report:Sinus rhythm 80/min SVEB Right axis deviation +130o Incomplete right bundle branch block S1Q3T3 (McGinn-White) pattern suggestive of acute cor pulmonale ST/T changes consistent with ischæmia or cor pulmonale Comment:In the context of dissemi