Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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
Extensive Acute Anterior Infarction
Report:Sinus rhythm 97 - 100/min VEBs, bigeminal Left axis deviation Extensive (hyper)acute anterior infarction Comment:All the precordial leads, as well as the âlateralâ 1 and aVL show ST segment elevation reciprocated by depression in the three
Anterior Infarction, LBBB & Its Escape Rhythm
Report:Fig 89: Sinus rhythm 76/min Borderline LAA LVH with ST/T changes Anterior infarction ?age Fig 89a (24 hours later): Sinus rhythm 74/min Alternating complete & incomplete left bundle branch block Primary T wave changes Fig 89b (an hour late
Old Anteroseptal MI & BBBB
Report:Atrial fibrillation with rapid response 160/mi9n Right bundle branch block Left anterior hemiblock Standard masquerading bundle branch block Old anteroseptal infarction Comment:In 1 and aVL the QRS resembles LBBB rather than RBBB, a situation
RBBB with Amputated Primary R Wave
Report:Sinus rhythm 95/min Right axis deviation Right bundle branch block Recent anterior infarct Comment:The QR complex in V1 is still RBBB since the delay is all in the RV territory. Before the infarction it was an rSrâ of normal duration (not sho
Complete Heart Block: Anterior MI
Report: Sinus tachycardia Third degree AV block Ventricular escape beats and rhythm Comment: The slowing of the sinus rate in the forth and fifth strips was ominous, reflecting sinus node hypoxia or ischæmia. The ventricular escapes were slow and unr
Complete AV Block in Shock
Report:Atrial flutter 375/min Complete (3rd degree) AV block Junctional rhythm 65/min Right axis deviation +90o ?LPHB Right bundle branch block Acute inferior and anteroseptal infarction Leads V3-6 probably right-sided: right ventricular infarction
Complete Heart Block: Anterior MI
Report: Sinus tachycardia Third degree AV block Ventricular escape beats and rhythm Comment: The slowing of the sinus rate in the forth and fifth strips was ominous, reflecting sinus node hypoxia or ischæmia. The ventricular escapes were slow and unr
Complete AV Block in Shock
Report:Atrial flutter 375/min Complete (3rd degree) AV block Junctional rhythm 65/min Right axis deviation +90o ?LPHB Right bundle branch block Acute inferior and anteroseptal infarction Leads V3-6 probably right-sided: right ventricular infarction
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