Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Left Axis Deviation in WPW Conduction
Report:Sinus arrhythmia 58 â 100/min Left axis deviation â40o Wolff-Parkinson-White conduction, type âBâ Comment:Either type âAâ or âBâ can produce inferior Q waves, usually QS complexes; âAâ, of course, can mimic posterior infarcts
Bilateral Bundle Branch Block
Report:Sinus tachycardia 113/min Left anterior hemiblock Right bundle branch block Comment:This is only a bifascicular block â complete right and partial left bundle branch block. The term BBBB is not usually used for this. But if, as here, the patie
LBBB: Intermittent LAD
Report: Sinus rhythm SVEBs Left bundle branch block QRS 0.125â Intermittent left axis deviation â50o Comment: Approximately 50% of LBBBs have LAD; this one had LAD 50% of the time! How or why the predivisional LBBB becomes divisional, and back ag
Left Axis Deviation: Inferior Infarction
Report:Sinus rhythm 60/min Left axis deviation â60o Inferior and anterior infarction, probably old Comment:Deep Q waves of inferior infarction are a common cause of LAD in cardiac patients. They distinguish infarction from LAHB, which requires rS mor
Left Axis Deviation: Axis Illusion of Emphysema
Report:Sinus rhythm 92/min Left axis deviation â80o Right atrial abnormality (RAA) Q waves in 3, aVF Comment:Although it is not an abnormality per se, the QRS complexes in emphysema are often characteristically slender. The P waves are pointed and
PAT with Block: LBBB RSR' in V1
Report:Atrial tachycardia 216/min with 2:1 block. LBBB. Comment:The only indisputable part of the computer and the Cardiologistâs reports is tachycardia. The tachycardia could not be sinus tachycardia even if there was a 1:1 conduction: the morpholog
First Degree AV Block
Report:Sinus rhythm 72/min First degree AV block (PR 0.42â) VEBs SVEBs, blocked Left axis deviation â60o Old inferior and anterior infarction Junctional escape beats (last and first) QRS complex Comment:There is some variation in the long PR in
First Degree AV Block
Report:Sinus rhythm 72/min First degree AV block (PR 0.42â) VEBs SVEBs, blocked Left axis deviation â60o Old inferior and anterior infarction Junctional escape beats (last and first) QRS complex Comment:There is some variation in the long PR in
Semiventricular Tachycardia
Report: Sinus tachycardia 100/min VEBs in bigeminy Possible ventricular fusion Left axis deviation (LAD) â 40o LVH with ST/T changes Inferior infarction, probably old Comment: Semiventricular is one of my own neologisms. Foreigners often take grea
Two Wrongs Making Two Rights!
Report: Sinus tachycardia 110/min Left bundle branch block Left axis deviation Runs of ventricular tachycardia 150 - 160/min AV dissociation Ventricular fusion beats Comment: This is from Schamroth himself: two wrongs sometimes make a right60. The t