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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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
Mitral Stenosis?
Report: Sinus rhythm Left atrial abnormality P axis â30o Right axis deviation +120o Incomplete right bundle branch block QRS 0.10â Comment: The trace suggests mitral stenosis. The LAA (true P mitrale in this case) is marked, both as increased P-
Right Ventricular Hypertrophy: Scleroderma
Report: Sinus rhythm Probable RAA Right axis deviation + 130o qRV1 Right ventricular hypertrophy Comment: The qR morphology of V1 is, by itself, evidence for right atrial enlargement as well as RVH; the prominent monophasic P in V2 supports it and in
Cor Pulmonale: COAD with MAT
Possible Run of MATReport: Sinus tachycardia 118/min Right atrial abnormality SVEBs, one blocked Probable run of multifocal atrial tachycardia (MAT) 170/min Probable LBBB aberrancy Right axis deviation +100o Left ventricular hypertrophy voltage Co
Cor Pulmonale: COAD
Report: Sinus tachycardia Right atrial abnormality Left atrial abnormality Right axis deviation +130o Possible left ventricular hypertrophy Nonspecific ST/T changes Comment: There is an obvious right axis and a P pulmonale with a right axis of its
Right Ventricular Pulmonary Ådema
Report: Sinus tachycardia Right axis deviation +95o Incomplete RBBB Clockwise rotation Non-specific ST/T changes, consistent with ischæmia Comment: The repolarisation changes probably reflect the patientâs gross hypoxia on admission. The ECG evolv
RVH
Report:Sinus rhythm 70/min Right axis deviation + 130o qRV1 â right ventricular hypertrophy Comment:Most ECGs looking like this would suggest primary pulmonary hypertension, especially in a young woman. The heart has a limited repertoire: this exampl
Status Asthmaticus
Report: Sinus tachycardia Right axis deviation +120o Clockwise rotation Comment: Right axis deviation may still be a normal variant in a young subject; in this case we can be sure it was a result of cor pulmonale as the axis normalised with clinical im
Cor Pulmonale: RVH with RBBB
Pre-Transplant Fibrosing AlveolitisReport:Sinus rhythm. Borderline first degree AV block (PR 0.20"). Right atrial abnormality ? biatrial enlargement. Right axis deviation Right bundle branch block. Right ventricular hypertrophy Comment:The tendency
Mitral Stenosis
Report:Sinus rhythm. Left atrial abnormality (LAA.) Probable right atrial enlargement. Right axis deviation. Probable right ventricular hypertrophy. Prolonged QT interval. Comment:This is one of those ECGs that delight the reporter, making him feel