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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Rhythm Strip Bump: P Wave or Artefact?
Report: Sinus bradycardia 25/min Junctional escape beats Escape-capture bigeminy Right axis deviation Right bundle branch block Old anteroseptal infarction Lateral infarction or ischæmia Possible right ventricular hypertrophy Comment: Congenital
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
Hyperkalæmia
Report: Sinus rhythm ST/T changes consistent with hyperkalæmia Comment: The T waves are peaked, tall and narrow, tent-shaped with soupçon of a waist â typical of hyperkalæmia. The ST segments are elevated in several leads, reflecting the dialyzable
Itâs a Boy: Duchenne Muscular Dystrophy
Report: Sinus tachycardia 144/min Axis +90o Rs in V1 consistent with Erb-Duchenne (pseudohypertrophic) muscular dystrophy[!xe "Duchenne (pseudohypertrophic) muscular dystrophy" \b \i!] Comment: The characteristic feature of Duchenne dystrophy is the do
V1 Inversion: Doubly True Posterior Infarct
Report: Sinus rhythm Old inferolateral infarction Early transition Probable posterior infarction Lead V1 mounted upside-down Comment: There are pathological Q waves in the inferior leads and V6, evidence of inferolateral infarction. In this context,
Myocardial Infarction and Cerebral Hæmorrhage
Report: Sinus tachycardia Left anterior hemiblock Left ventricular hypertrophy Acute anterior infarction Comment: The pattern is indistinguishable from that of acute myocardial infarction. There was, however, no other evidence for it, in life or at au
Myopericarditis
Report: Sinus rhythm Global T wave inversion c/c infarction/ischæmia Comment: The T waves show deep, if somewhat asymmetrical, inversion. The pain continued and was, at times, severe. Propranolol and nitrates did not help. As the T waves deepened furth
Dextrocardia and Acute Myocardial Infarction
Report: Sinus rhythm Dextrocardia Acute inferolateral infarction Old anteroseptal infarction Comment: The unusual occurrence of right-sided chest pain is well-recognised in patients with inferior infarction and dextrocardia148. The reason for this is
Short QTc in Diltiezam Overdose
Report:Junctional rhythm 56/min Short QT interval 0.36â QTc 0.35â Lead V2 missing Possible old inferior infarction. Comment:The cause of QT interval shortening is iatrogenic32 hypercalcæmia induced by calcium infusion for diltiezam overdose hypo
Hypocalcæmia in Painless Pancreatitis
Report:Sinus rhythm. LVH voltage. Non-specific T wave changes 1 & aVL. Prolonged QT interval 0.53". Q3 and borderline ST segment elevation 2, 3, aVF. Comment:This was an unusual presentation of acute pancreatitis (proven by means of a CAT scan) prese