Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Right Atrial Abnormality
Report: Sinus rhythm Right atrial abnormality Comment: The P wave is over 2.5 mm tall . It is characteristically peaked, and its axis is over +70o; these additional criteria are not necessary for the diagnosis of RAA. The older term, P pulmonale, is st
Cor Pulmonale: RVH with RBBB
Pre-Transplant Fibrosing AlveolitisReport:Sinus rhythm. Borderline first degree AV block (PR 0.20"). Right atrial abnormality ? biatrial enlargement. Right axis deviation Right bundle branch block. Right ventricular hypertrophy Comment:The tendency
Pulmonary Embolism: McGinn-White Pattern
Report: Sinus rhythm 90/min Right axis deviation +110o S1Q3T3 (McGinn-White) pattern consistent with acute cor pulmonale qR V1 and anteroseptal ST/T changes consistent with right ventricular "strain" Comment: The q in V1 may be a sign of right atrial
COAD: P Pulmonale Causing ST Segment Depression
Report: Sinus tachycardia 117/min Right atrial abnormality Small voltage (absolute) Late transition Borderline ST segment changes Comment: The P wave axis is 86o, with 0.4 mV amplitude in lead 2 and the characteristic peaked shape. As often happens
Endocardial Cushion Defect & Biventricular Hypertrophy
Report:Sinus rhythm 63/min First degree AV block PR 0.22â Right atrial abnormality Left anterior hemiblock LAD â65o RSRâ in V1 Biventricular hypertrophy Katz-Wachtel phenomenon: QRS 67 mm in V4 Nonspecific ST/T changes Comment:The interes
Peaked Waves After Head Injury
Report:Sinus rhythm 80/min Borderline right axis deviation +90o Right atrial abnormality Tall peaked T waves ?cause Prolonged QT interval QTc 0.50â Comment:The T waves are, of course, typical of hyperkalæmia: narrow-based, tall and peaked. There
Pædiatric RVH
Report:Sinus rhythm 175/min (upper limit for up to two years) Right atrial abnormality, P congenitale type Right axis deviation +170o Right ventricular hypertrophy RV1 > 5 mm Comment:The infant had a complex anatomy, not predictable per se on her EC
Thromboembolic Pulmonary Hypertension
Report:Sinus tachycardia 110/min Right atrial abnormality Right axis deviation +160o Right ventricular hypertrophy with ST/T changes Suggestive of cor pulmonale Comment:Everything supports RVH here. This one has a relatively unusual ætiology: chroni
Hyperventilation in Anxiety Attack
ReportSinus tachycardia 144/min Right axis deviation +95o, borderline for age Right atrial abnormality Late transition Nonspecific ST/T changes Comment: The ECG is also consistent with cor pulmonale. Tachycardia per se increases the amplitude of the
RVH in Single Ventricle Transposition with Pulmonary Stenosis
Report:Sinus rhythm approx 125/min (less than 132/min normal for 3 years) Third degree AV block Junctional rhythm 66/min Right atrial abnormality (P congenitale pattern) Right ventricular hypertrophy Comment:The congenital defects in the title above