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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Coronary Artery Dissection
Report:Fig 111: Sinus bradycardia 40/min Left atrial abnormality (LAA) â best seen in lead 2 Left ventricular hypertrophy voltage Fig 111a: Sinus bradycardia 40/min SVEB (last beat) Left atrial abnormality (LAA) First degree AV block Acute exte
LAD Artery Occlusion and Repair
Report:Fig 112: Sinus tachycardia 140/min Extensive acute anterior infarction Movement artefacts Fig 112a: Sinus tachycardia 118/min Extensive acute anterior infarction Comment:The tracings are similar to the previous case, 111, except the recordin
Hypokalæmic ST Segment Depression
Report:Sinus rhythm ST/T changes c/w ischæmia/metabolic disorder Comment:The only âmetabolic disorderâ that could be identified was potassium level of 2.9 mEq/L. Hypokalæmia commonly causes ST segment depression, T wave inversion or loss of amplit
Early Repolarisation
Report:Sinus rhythm 58/min Vertical heart position Axis +97o LVH voltage, normal for age ST segment elevation in the inferior leads, c/w early repolarisation Anteroseptal T wave inversion, normal for age Comment:The entire tracing is almost certainl
Hyperventilation ST Segment Depression
Report:Sinus arrhythmia 72 -112/min Anteroseptal ST segment depression Comment:One clue that deep breathing may be causing the mid-precordial ST segment depression is the sinus arrhythmia, drifting into a tachycardia range during inspiration. Deep, but
ST/T Infarction Getting âTransmuralâ
Report:Sinus rhythm 90/min Diffuse ST segment depression c/w infarction/ischæmia Comment:The non-Q infarction (which this was, with ongoing pain and troponins already up) did not stop here: within hours (at 3 am), a new ECG showed a conventional âhig
ST Elevation or Non-Q Infarction?
Report:Sinus rhythm 87/min ST/T changes c/w infarction/ischæmia Comment:This type of tracing is difficult to define. ST segment elevation infarction requires, by definition10, 1 mm elevation in at least two contiguous leads sustained over 30 minutes. H
Infarction and LVH
Report:Sinus rhythm 86/min Left anterior hemiblock LAD -40o LVH with ST/T changes Poor R wave progression ST segment depression suggestive of infarction/ischæmia Comment:Like the previous case, this one has some ST segment elevation in V1 and aVR (
Inferoposterolateral Infarction
Report:Sinus rhythm 70/min Right axis deviation (RAD) ±180o Inferoposterolateral infarction, age indeterminate Comment:Complete proximal circumflex lesion was stented, with large basal infarction and surprisingly preserved LVEF 50%13. It is not possib
Non-Coronary Ischæmia
Report:Sinus rhythm 80/min Borderline first degree AV block ST/T changes suggestive of ischæmia Comment:This is a good example of horizontal (âplaneâ) ST segment depression highly suggestive â almost diagnostic â of ischæmia. The associated T