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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Poor (Manâs Exercise) Test
Report:Sinus rhythm 56 â 66/min VEB SVEBs, blocked Post-ectopic T wave inversion Comment:The Holter strips are a continuous recording. Post-VEB beat (top strip) has inverted T wave â what some call a post-extrasystolic repolarisation change. Sim
NSTEMI: Non-ST-Elevation Myocardial Infarction
Report:Sinus rhythm 63/min Diffuse T wave inversion Prolonged QTc 0.49â Comment:The patientâs presentation was âatypicalâ but, after all, she was a woman35. Diabetics may also have silent infarcts more than any other group, with their autonomic
Anterior Infarction and Rate-Dependent LBBB
Report:Sinus rhythm 66/min SVEBs, blocked Rate-dependent left bundle branch block Anterior infarction ?age Comment:The pauses created by the non-conducted SVEBs are long, but still not fully compensatory. The complexes terminating the pauses are norma
Exercise Normalising Early Repolarisation
Report:Sinus rhythm 54/min Tall T waves Widespread ST segment elevation Probable early repolarisation normal variant Comment:This is a difficult tracing. Perhaps one should not be too hard on the computer in the preceding case! The fact that ST eleva
Inferoposterior Infarction
Report:Sinus tachycardia 108/min Accelerated junctional rhythm 98/min SVEB (6th complex, a pseudofusion beat) Movement artefact Pacemaker, electronic, 70/min Failure to sense Acute infero(postero)lateral infarction Low voltage in frontal leads Com
LBBB: Primary T Wave Changes
Report:Sinus rhythm 65/min First degree AV block PR 0.28â Left bundle branch block Primary T wave changes 2, 3 and aVF Comment:LBBB always causes repolarisation changes directed opposite the main QRS deflection, especially its terminal half. They a
Hyperacute Anterior Infarction
Report:Sinus rhythm 70 â 74/min (Hyper)acute anterior infarction Comment:The term hyperacute is frowned at by some, but it does have reasonable economy of expression and definitional specificity in referring to early infarction predominantly manifest
Non-Q Infarction
Report:Sinus rhythm ST/T changes consistent with infarction/ischæmia Poor R wave progression Comment:This is the same patient whose stage of illusion is shown on the preceding page. Now, 24 hours later, the T waves have âflippedâ and the cardiac
Acute Cor Pulmonale
Report:Sinus tachycardia 113/min S1Q3T3 (McGinn-White) pattern Incomplete right bundle branch block Right precordial T wave inversion & ST segment depression Consistent with acute cor pulmonale Comment:The classical S1Q3T3 (McGinn-White) pattern of s
RVH: Chronic Cor Pulmonale in COAD
Report:Sinus rhythm 93/min Right axis deviation +110o Right atrial abnormality P axis + 80o Right ventricular hypertrophy Comment:The entire trace is, in fact, in favour of RVH: the RAD and the RAA as much as the qR morphology of V1 and the precordi