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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Large T Waves on Amiodarone + Haloperidol
Report:Sinus rhythm 60/min Nonspecific T wave changes ?TU waves Prolonged QT interval 0.58â QTc 0.58â Comment:The patient was on amiodarone infusion for previous AF (Fig 67a) and haloperidol for what, after extubation, was to become a delirium, a
Pulmonary Embolism: Discrete S1Q3T3 Pattern
Report:Sinus tachycardia 111/min Borderline trace, probably normal Comment:Much depends what one is looking for. I countersigned the Registrarâs and the computer report of âotherwise normal ECGâ during routine reporting, but the patient arrived to
Dextrocardia & IVCD
Report:Atrial fibrillation with ventricular response approx 112/min Intraventricular conduction defect QRS 0.15â Lead misplacement or dextrocardia Comment:The patient had Polandâs syndrome51 with dextrocardia and a mild Ebsteinâs anomaly; the fo
Gitelmanâs Syndrome: Hypokalæmia
Report:Sinus rhythm 85/min Right axis deviation +140o Right bundle branch block Large TU waves c/w hypokalæmia Comment:This is, almost, a P-on-U phenomenon (no pun intended), as Schamroth put it11. The diagnosis can only be made, as reported, in a co
Atrial Septal Defect
Report:Sinus rhythm 88/min Left atrial abnormality PTFV1 > 1x1 mm Right atrial abnormality P > 2 mm in V2 Borderline (for age) right axis deviation +100o Incomplete right bundle branch block ST/T changes c/c right ventricular hypertrophy Left vent
Hypokalæmia - Giant U Waves
Report:Sinus rhythm 52/min Borderline right axis deviation +91o Right atrial abnormality Late transition Prolonged QT (QU) interval 0.72â Comment:It would not be possible to tell whether the apparent QT prolongation is due to a large U wave that ha
Two Movement Artefacts
Report:Sinus rhythm 81/min Nonspecific ST/T changes Movement artefact Comment:The wobbly crinkled baseline in the first set of leads is due to movement but does not deserve a mention because it does not distort the trace much. In V6, however, there is
Electrical Alternans at 300/min
Report:Supraventricular tachycardia 300/min Electrical alternans Comment:At fast rates, electrical alternans has no connotation of cardiac failure. It can be quite transient: below (Fig 73a) is a trace at only slightly slower rate, without alternans. T
Carneyâs Syndrome
Report:Sinus rhythm 84/min Right axis deviation +100o Left atrial abnormality RSRâ in V2 Late transition Comment:The trace suggests mitral stenosis. She had it, but not an ordinary one: it was caused by a large atrial myxoma. In her case, part of C
HOCM
Report:Sinus rhythm 57/min Borderline first degree AV block PR 0.22â Right (or northwest) axis deviation +225o RsRâ V1 Poor R wave progression Possible right ventricular hypertrophy Left ventricular hypertrophy voltage Possible old inferolater