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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Another Isolated U Wave Inversion
Report:Sinus rhythm 95/min Right atrial abnormality (RAA) Probable LVH with ST/T changes Inverted U waves c/w ischæmia Movement artefact V5. Comment:This patient, with chronic emphysema and hypertension, had an episode of chest pain two years previo
Cerebral Mime of Ischæmia
Report:Sinus rhythm 54/min LVH voltage, probably normal for age ST/T changes suggestive of ischaemia Prolonged QTc 0.47â (QT 0.5â) Comment:An accident may cause both cardiac and cerebral damage, often with marked ECG changes. On the other hand, bo
Ischæmic ST Segment Depression
Report:Sinus rhythm 88/min ST/T changes suggestive of ischæmia Comment:In a person with chest pain (or equivalent â women have a lot of those55) this ECG is diagnostic. There are plane, slowly rising, or downsloping ST segments in many leads and elev
Positive Exercise Test
Report:Early ST segment depression consistent with severe ischæmia Comment:The peak exercise attained a rate of 152/min just before the end of Stage 1 (Bruce protocol); the diastolic pressure rose from 100 to 105 mmHg; most importantly, the patient repo
Tombstones in V2
Report:Sinus rhythm 80/min Acute anterior infarction Comment:The pattern in V2 is as good a picture of tombstones or tombstoning as it gets. It is somewhat unusual to see it in only one lead. Tombstones are most commonly seen between leads V2 and V466.T
Ischæmic Giant T Wave Inversion
Report:Sinus rhythm Borderline first degree AV block PR 0.22â Incomplete left bundle branch block QRS 0.12â Deep T wave inversion consistent with infarction/ischæmia Prolonged QTc 0.52â Comment:The patient had severe multivessel disease, wit
Agonal ST Segment Elevation
Report: Supraventricular rhythm of uncertain origin Sinus rhythm, with sinus arrests Probable junctional rhythm Progressive ST segment elevation Asystole Comment: Initial ST depression, followed by elevation, is quite common terminal event. Presumabl
LVH with ST/T Changes
Report:Sinus rhythm 84/min Three SVEBs in bigeminy LBBB aberrancy Left ventricular hypertrophy with ST/T changes Left atrial abnormality ST/T changes also suggestive of ischæmia Possible old anteroseptal infarction Comment:In old patients with aor
Holter-Monitored Sudden Death
Report:Sinus bradycardia 32/min (12.5 mm/sec recording) Asystole Comment:The patient had a routine Holter âto exclude AFâ for a recent occipital CVA and was found dead in his bed. It is not always possible to ascertain whether the death was cardiac
Dextrocardia in Situs Inversus Viscerum
Report:Sinus rhythm 92/min Dextrocardia Nonspecific T wave changes Comment:Oddly enough the computer diagnosed âregular rhythm with unusual P axisâ, as though negative P wave in L1 is merely âunusualâ. It also went the full hog: âanterolatera