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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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
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:
Pædiatric RVH
Report:Sinus rhythm 175/min (upper limit for up to two years) Right atrial abnormality, P congenitale type Right axis deviation +170o Right ventricular hypertrophy RV1 > 5 mm Comment:The infant had a complex anatomy, not predictable per se on her EC
Thromboembolic Pulmonary Hypertension
Report:Sinus tachycardia 110/min Right atrial abnormality Right axis deviation +160o Right ventricular hypertrophy with ST/T changes Suggestive of cor pulmonale Comment:Everything supports RVH here. This one has a relatively unusual ætiology: chroni
Thromboembolic Pulmonary Hypertension
Report:Sinus tachycardia 100/min Right axis deviation +100o Right ventricular hypertrophy Comment: The evidence here is qR in V1, RAD and clockwise rotation; P wave is normal. She had a giant RV and died in low-output heart failure, the worst kind. 4
Histiocytosis X Cor Pulmonale
Report:Sinus tachycardia 102/min Right atrial abnormality Left atrial abnormality Right axis deviation +110o RSRâSâ in V1 Poor R wave progression Right ventricular hypertrophy Comment:Most patients with a trace like this would have emphysema, b
RVH in Single Ventricle Transposition with Pulmonary Stenosis
Report:Sinus rhythm approx 125/min (less than 132/min normal for 3 years) Third degree AV block Junctional rhythm 66/min Right atrial abnormality (P congenitale pattern) Right ventricular hypertrophy Comment:The congenital defects in the title above
Pædiatric Right Ventricular Hypertrophy
Report:Probable flutter 300/min with 2:1 block Right axis deviation Right ventricular hypertrophy Comment:In children with congenital heart disease the abnormal RAD is usually manifest as S1S2S3 morphology. The qR in V1 indicates that it is a true RAD,
Turnerâs Syndrome
Report:Sinus rhythm 91/min Right atrial abnormality, P congenitale type Right axis deviation +140o Right ventricular hypertrophy Diffuse T wave changes Comment:Women with Turnerâs syndrome have a range of ECG abnormalities, including T wave changes
Crochetage
Report:Sinus rhythm 91/min SVEBs Right atrial abnormality P > 2mm in V2 Right axis deviation +112o Right ventricular hypertrophy qR V2 + RAD Comment:This is a very interesting case in that her ASD was discovered in the course of a CABG procedure: t