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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Old and New Inferior Infarction
Report:Sinus bradycardia 44/min First degree AV block Right bundle branch block Acute inferior infarction Comment:The splayed, low-amplitude P waves are difficult to time with respect to possible 2:1 block at 88/min. Even isorhythmic AV dissociation c
Wrong Reason for the Right Report
Report:Sinus tachycardia 128/min Third degree AV block Junctional escape rhythm 38/min Acute inferior and right ventricular infarction (Right-sided V leads as labelled) Atrial infarction Comment:The report followed a previous one, on a preceding ECG
Inferior Infarction and AIVR
Report:Sinus rhythm & arrhythmia 80/min Accelerated idioventricular rhythm 80/min Retrograde conduction Fusion beat (third last complex) Acute inferior infarction Comment:The sinus cycle lengthens over the first three beats, allowing the AIVR to take
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
Inferior Infarction: Blocks and Arrhythmias
Report:Sinus tachycardia 122/min Second degree AV block, unspecified Junctional escape beats and rhythm 46/min Non-phasic aberrant conduction Acute inferior infarction Comment:It is said that the presence of 2o AV block in inferior infarction denotes
Acute Inferior Infarction: AIVR
Report:Sinus rhythm Accelerated idioventricular rhythm 88/min Acute inferior infarction Comment:There are only three sinus captures present, just enough to make the diagnosis. The computer diagnosed LBBB with âmarked ST elevation â possibly due to
Inferior MI, VEBs & Persistent Wenckebach
Report:Sinus tachycardia 104/min VEBs, frequent, multiform Second degree AV block, Möbitz 1 (Wenckebach) Late transition Nonspecific intraventricular conduction delay (IVCD) Acute inferior infarction Anterolateral ST/T changes c/w MI/ischæmia Co
Inferolateral Infarction & LBBB
Report:Sinus rhythm 88/min Left bundle branch block Acute inferolateral infarction Comment:Unlike the previous caseâs IVCD, this one shows typical LBBB, with sharp S descent and slower ascent in V1. Despite this, there is a concordant ST segment elev
Acute Inferior Infarction
Report: Sinus rhythm 60/min PR interval 0.22â Acute inferior infarction Comment: This is a very early stage, with inferior T waves still large and upright. The ST segment is markedly displaced (6 mm elevation in Lead 3) in both the indicative and the
Acute Inferior Infarct â L Circumflex Occlusion
Report:Sinus tachycardia 112/min Acute inferolateral infarction Comment:This trace has three major criteria favouring left circumflex artery over RCA as the culprit vessel. 1. The reciprocal changes in aVL but not in 1 denote the left circumflex as the