Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Reversible ST Segment Depression Myocardial Infarction
Report:Atrial fibrillation with ventricular response 65 â 103/min Precordial ST segment depression c/w infarction/ischæmia Comment:The CPK showed a rise to 900 U/L, while the troponin remained, unaccountably, negative. Later it transpired that there
Sudden Death Syndrome: Main Left Pattern
Report:Atrial fibrillation with mean response 85/min Indeterminate axis Diffuse ST/T changes c/w MI/ischæmia Comment:The patient had recurrent VF and fatal cardiogenic shock in Casualty. The pattern of marked ST segment depression with elevation in
Frequent, Multiform, R-on-T VEBs in Acute MI
Report:Atrial fibrillation Possible run of accelerated junctional rhythm 75/min (first four beats) VEBs, dimorphic couplet, R-on-T phenomenon Acute anterolateral infarction Probable old inferior infarction Comment:There is obvious ST segment elevati
Old Anteroseptal MI & BBBB
Report:Atrial fibrillation with rapid response 160/mi9n Right bundle branch block Left anterior hemiblock Standard masquerading bundle branch block Old anteroseptal infarction Comment:In 1 and aVL the QRS resembles LBBB rather than RBBB, a situation
Atrial Fibrillation in Hypothermia
Report: Atrial fibrillation with average ventricular response 97/min J (Osborn) waves suggest hypothermia Prolonged QT interval Comment: The QT interval is only mildly prolonged for 30oC; the prolongation is most obvious in short cycles, where QT shoul
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
Pericarditis
Report: Sinus rhythm 97/min Diffuse ST segment elevation suggestive of acute pericarditis Comment: The trace in very suggestive of acute pericarditis. The timid report of âinferior wall ischæmiaâ is preserved for studentsâ education. It became qu
CVA: Anterolateral ST Segment Elevation
Report:Atrial fibrillation with rapid ventricular response. VEB. Anterolateral ST segment elevation consistent with MI or ischæmia. Left ventricular hypertrophy. Comment:The patient had no clinical evidence of MI. Note the reciprocal - discrete but d
Sluggish Performance of Fat Complexes
Report: Atrial fibrillation with controlled response (top & bottom) Mean BP 85 & 83 mmHg Pacemaker rhythm (middle) Mean BP 68 mmHg Comment: The slight asynchrony in contraction secondary to LBBB-type conduction becomes significant in a critically imp
RVH with AF in COAD
Report: Atrial fibrillation (coarse) with rapid ventricular response Phasic aberrant conduction, probably incomplete RBBB (6th beat in aVR) Right axis deviation Right ventricular hypertrophy (RVH) Probable left ventricular hypertrophy (LVH) Comment: