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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
MyxÅdema Diagnosed on ECG
Report:Sinus rhythm 92/min Low voltage throughout (absolute small voltage)[! XE "Low voltage" \t "See Small voltage" !] Prolonged QT interval 0.40â QTc 0.48â Diffuse nonspecific T wave changes Comment:The patient was quite distressed post-laparot
Absolute Small Voltage in Anasarca
Report:S tachycardia 111/min Absolute small voltage Poor R wave progression Comment:While frontal leadsâ small voltage is too common to have great clinical significance, absolute small voltage is always pathological. Curiously, students almost invari
Absolute Small Voltage
Report:Supraventricular tachycardia, possibly sinus, 146/min Absolute small voltage QRS < 5 mm frontal, < 10 mm chest leads Diffuse ST segment depression c/c infarction/ischæmia Comment:Some of the best examples of âischæmicâ ST segment depressi
Alternating LBBB
Report:Sinus rhythm 87/min Alternating (2:1) left bundle branch block Small frontal plane voltage Nonspecific T wave changes Comment:The patient was admitted to CCU because of chest pain; a new LBBB developed. However, when disseminated carcinoma beca
First Degree AV Block
Report:Sinus rhythm 60/min First degree AV block PR interval 0.62â Indeterminate axis Absolute small voltage Minor T wave changes Comment:The PR interval is considerably longer than the R-P interval, confusing the computer into diagnosing junction
Heart Transplant
Report: Sinus rhythm 92/min Another sinus rhythm, 66/min Atrial âparasystoleâ Small voltage Comment: This was, of course, a âtrick questionâ - except that the answer should suggest itself without even looking at the trace. Not many types of
First Degree AV Block
Report:Sinus rhythm 60/min First degree AV block PR interval 0.62â Indeterminate axis Absolute small voltage Minor T wave changes Comment:The PR interval is considerably longer than the R-P interval, confusing the computer into diagnosing junction
Heart Transplant
Report: Sinus rhythm 92/min Another sinus rhythm, 66/min Atrial âparasystoleâ Small voltage Comment: This was, of course, a âtrick questionâ - except that the answer should suggest itself without even looking at the trace. Not many types of
The Frailty of Lead 2 Monitoring
Report:Sinus rhythm 78/min VEBs in bigeminy Right bundle branch block Small voltage Possible old anterior infarction Comment:Leads V1-5 clearly distinguish between the ectopic ventricular and the sinus RBBB conduction. Lead 2 performs, as usual, badl