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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Pulmonic Stenosis
Report: Sinus rhythm Right axis deviation +140o Right bundle branch block Probable right ventricular hypertrophy Comment: The congenital PS was repaired 21 years previously; a late sequel was a right ventricular aneurysm, scheduled for elective repair
The TUP phenomenon
Report: Sinus tachycardia 107/min Borderline left axis deviation â 30o Nonspecific ST/T changes Prominent U wave Comment: The inferior leads show it well. If Marriott had not dignified it with a (however jocular) name105, it probably would not be he
Dextrocardia
Report: Atrial fibrillation Mirror-image dextrocardia Comment: The dextrocardia was an incidental finding in this patient with traumatic subdural hæmatoma. There was no evidence of cardiopulmonary disease apart from AF. The latter could have been trigg
Pulmonary Embolism: Global T Inversion
Report: Atrial fibrillation with ventricular response 67/min Right axis deviation +90o S1Q3T3 (McGinn-White) pattern consistent with pulmonary embolism Diffuse T wave inversion Comment: The T waves make the trace unusual; embolism tends to produce sha
Left Pneumonectomy Pseudoinfarction
Report:Sinus rhythm 62/min Right axis deviation +135o Possible anterior infarction ?age Possible cor pulmonale Small voltage, chest leads Comment:The preoperative ECG was normal (Fig 15a below). The obvious question is whether a perioperative event l
Tricuspid Atresia
Report: Atrial tachycardia 150/min, variable block Ventriculophasic effect Left axis deviation â35o Nonspecific ST/T changes Prolonged QT interval Comment: The P waves are very broad and widely notched, like the sinus P waves (Fig 150a below). Both
Horizontal Heart
Report: Sinus rhythm Normal axis (-14o) Horizontal heart position Late transition ECG within normal limits Comment: The electrical heart position is defined by leads aVL and aVF alone; the term is a descriptive one, only useful if there is no abnorma
Cabrera 12-Lead Display
Report: Sinus rhythm Non-specific ST/T changes Comment: The display is the âorderly sequenceâ proposed by Cabrera, representing cardiac electrical activity from left to right (Lead 1 to Lead 3) and then right to left (V1 to V6). This one is a vari
Hypocalcæmia
Report: Sinus rhythm Borderline first degree AV block PR 0.22â Prolonged QT interval QT 0.44â, QTc 0.50â Comment: The long QT is easy to spot because the T waves are relatively prominent from hyperkalæmia. The trace is fairly typical of ren
Acute Pericarditis
Report: Sinus rhythm Acute pericarditis Comment: The trace is typical Stage I acute pericarditis, with typical ST segment elevation in all the leads except (equally typically) depression aVR and V1112. Day later, there was an episode of atrial fibrilla