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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Acute Posterior Infarction
Report:Sinus rhythm 80/min ST segment depression c/c MI/ischæmia Probable acute posterior infarction Comment:One can never be completely sure. Marked septal ST depression is a feature of uncommonly observed septal ischæmia or, as a reciprocal change,
Anterior + Inferior MI
Report: Sinus rhythm Left atrial abnormality (LAA) Borderline first degree AV block Left axis deviation (LAD) â 60o Left anterior hemiblock (LAHB) Incomplete right bundle branch block (RBBB) Extensive acute anterior myocardial infarction Acute in
ST Depression Myocardial Infarction
Report:Sinus rhythm 97/min Possible LVH ST segment depression consistent with infarction/ischaemia Comment:This is the worst ECG presentation for acute infarction â worse than T wave inversion or ST segment elevation77. The pattern is, in fact, that
Acute Inferior Infarction: Anterior Reciprocal Changes
Report:Sinus rhythm 82/min First degree AV block PR interval 0.28â Acute inferior infarction Comment:The tracing is remarkable in that both lateral all the precordial leads show reciprocal ST segment depression, more than the previous example in Fig
Coronary Artery Dissection
Report:Fig 111: Sinus bradycardia 40/min Left atrial abnormality (LAA) â best seen in lead 2 Left ventricular hypertrophy voltage Fig 111a: Sinus bradycardia 40/min SVEB (last beat) Left atrial abnormality (LAA) First degree AV block Acute exte
LAD Artery Occlusion and Repair
Report:Fig 112: Sinus tachycardia 140/min Extensive acute anterior infarction Movement artefacts Fig 112a: Sinus tachycardia 118/min Extensive acute anterior infarction Comment:The tracings are similar to the previous case, 111, except the recordin
Inferior Infarction and Left Anterior Hemiblock
Report:Sinus rhythm 78/min Left axis deviation â 72o Left anterior hemiblock Old inferior infarction Clockwise rotation (late transition) Comment:The LAHB is seen as inferior QS waves > 5 mm in depth, lack of secondary R waves in the inferior leads
ST Elevation or Non-Q Infarction?
Report:Sinus rhythm 87/min ST/T changes c/w infarction/ischæmia Comment:This type of tracing is difficult to define. ST segment elevation infarction requires, by definition10, 1 mm elevation in at least two contiguous leads sustained over 30 minutes. H
Inferoposterolateral Infarction
Report:Sinus rhythm 70/min Right axis deviation (RAD) ±180o Inferoposterolateral infarction, age indeterminate Comment:Complete proximal circumflex lesion was stented, with large basal infarction and surprisingly preserved LVEF 50%13. It is not possib
Broad-Complex Tachycardia?
Report:Atrial fibrillation with rapid response 186/min Acute inferolateral infarction Comment:The computer and, regrettably, some of the staff pronounced this VT despite some (and by inference, all) complexes being quite thin and the obvious ST segment