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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Acute Anterolateral Infarction
Report:Sinus rhythm 68/min VEBs Acute anterolateral infarction Left ventricular hypertrophy voltage Comment:The left circumflex artery was 100% blocked, but successfully dilated and stented at the PTCA. However, a sizeable posterolateral infarction re
Lateral Infarction: Stage of Illusion
Report:Sinus rhythm 66/min Within normal limits Comment:This ECG was taken 10 hours after the one shown below, with obvious (high) lateral infarction (Fig 4a). The patient had the benefit of primary PTCA, with excellent outcome, but his ECGs before and
Massive ST Segment Elevation in Coronary Spasm
Report:Sinus rhythm 93/min Extensive acute anterior infarction Comment:The elevation settled rapidly and subsequent angiography documented normal coronary arteries. The most likely explanation is spasm, which may have caused near-drowning in the first p
Wenckebach AV Block in Acute Inferior Infarction
Report:Sinus rhythm 90/min Möbitz 1 (Wenckebach) second degree AV block Intraventricular conduction defect (IVCD) QRS 0.12â Acute inferior infarction Comment:The most striking feature are the marked precordial reciprocal changes, indicating extens
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
Small Ts in 1 and V6
Re-arrange ECGs to true time sequence, re-write report! Report:Sinus rhythm 59/min T wave changes c/w ischæmia Comment:The TV1 > TV646 or T3 > T1 phenomenon is less well known than it should be. It is not normal, as most computer programmes would have
Old Anterior and Acute Inferior Infarction
Report:Sinus rhythm 93/min VEB (fusion beat in V1) Left axis deviation -60o Left anterior hemiblock + intraventricular conduction defect Acute inferior infarction Right ventricular infarction Old anterolateral infarction Comment:The patient had ant
Classical Acute Anterior Infarction
Report:Sinus rhythm 70/min Acute anterior infarction Comment:The tracing is shown because of its typical upwardly convex ST segment elevation, involvement of 1 and aVL and deep reciprocal ST depression, signatures of proximal LAD occlusion. It evolved
Right Ventricular Infarction
Report:Junctional rhythm 44/min Acute inferior infarction Right ventricular infarction Comment:The patientâs shock may well be due to a large infarction, but this is not, electrocardiographically, visible in inferior infarcts unless the reciprocal ch
Acute Anterior MI: Frequent R-on-T VEBs
Report:Sinus rhythm 64/min Frequent R-on-T VEBs Extensive acute anterior infarction Comment:This VEB density (a Holter term) would have evoked xylocaine reflex4 until quite recently. Lown Class V ventricular ectopic activity5 even more so. However, in