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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Right Ventricular Infarction: Inferior MI with RBBB
Report:Sinus rhythm 65/min Third degree AV block Junctional escape rhythm 40/min Right bundle branch block Left ventricular hypertrophy voltage R2 > 15 mm Acute inferior infarction Right ventricular infarction Comment:It is unusual for inferior in
Reperfusion: Rapid Development of Q Waves
Report:Sinus rhythm 63/min ST/T changes c/w infarction/ischæmia Comment:This is somewhat atypical tracing in that the prominent T waves are narrow-based and pointed, the ST elevation is modest and horizontal and there are no reciprocal changes in the i
Non-Q Myocardial Infarction
Report:Sinus rhythm 80/min Non-specific T wave changes Comment:By convention, the report could have said ânon-specific ST/T changesâ or ânon-specific repolarisation changesâ; it matters little. Such changes are almost invariably non-specific.Thi
Embolic Anterior Infarction in Endocarditis
Report:Sinus tachycardia 108/min T wave changes c/w infarction/ischæmia Comment:Again, there are no reciprocal changes in the inferior leads. The embolus lodged distal to the first diagonal (D1) and septal (S1) branches of the LAD. This is almost invar
Juvenile Notch
Report: Sinus rhythm Axis +90o Early transition Normal trace Juvenile notch Comment: The interesting part of the ECG are leads V2 and V3, where a prominent juvenile notch of the T wave mimics 2:1 AV block. If only these two leads were available, it w
Right Ventricular Infarction or Prinzmetal Angina?
Report:Sinus rhythm 78/min SVEBs, one aberrant, two blocked Wenckebach phenomenon Acute inferior infarction Right ventricular infarction Left ventricular hypertrophy with ST/T changes Comment:The diagnosis of Prinzmetal angina was suggested when ser
Inferolateral Infarction or Prinzmetal Angina?
Report:Sinus tachycardia 112/min Acute inferolateral infarction Comment:Again, like in the previous example, one would have to report infarction. This time however it was documented spasm in a cocaine addict. The artery was probably left circumflex, giv
Acute Anterolateral Infarction
Report:Sinus rhythm 68/min VEBs Acute anterolateral infarction Left ventricular hypertrophy voltage Comment:The left circumflex artery was 100% blocked, but successfully dilated and stented at the PTCA. However, a sizeable posterolateral infarction re
Poor (Manâs Exercise) Test
Report:Sinus rhythm 56 â 66/min VEB SVEBs, blocked Post-ectopic T wave inversion Comment:The Holter strips are a continuous recording. Post-VEB beat (top strip) has inverted T wave â what some call a post-extrasystolic repolarisation change. Sim
Ischæmia and Wellensâ Warning
Report:Atrial rhythm 68/min (first 6 beats) Sinus rhythm 54/min (last 5 beats) T wave changes c/w ischæmia Borderline LVH voltage (R2 15mm) Comment:In V1-3 the T waves, even though within normal limits by themselves, appear unduly prominent compared