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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Holter Ischæmia
Report:Top: Sinus tachycardia 105/min SVEB ST/T changes suggestive of ischæmia Middle: Sinus rhythm 80/min Resolving ST/T changes Bottom: Sinus rhythm 66/min Isoelectric ST segments Comment:This is a good example of spontaneous ischæmia (at 3.
Embolic Anterior Infarction in Endocarditis
Report:Sinus tachycardia 108/min T wave changes c/w infarction/ischæmia Comment:Again, there are no reciprocal changes in the inferior leads. The embolus lodged distal to the first diagonal (D1) and septal (S1) branches of the LAD. This is almost invar
Right Ventricular Infarction or Prinzmetal Angina?
Report:Sinus rhythm 78/min SVEBs, one aberrant, two blocked Wenckebach phenomenon Acute inferior infarction Right ventricular infarction Left ventricular hypertrophy with ST/T changes Comment:The diagnosis of Prinzmetal angina was suggested when ser
Inferolateral Infarction or Prinzmetal Angina?
Report:Sinus tachycardia 112/min Acute inferolateral infarction Comment:Again, like in the previous example, one would have to report infarction. This time however it was documented spasm in a cocaine addict. The artery was probably left circumflex, giv
Acute Extensive Anterior Infarction: Regaining R Waves
Report:Sinus rhythm 60/min Acute extensive anterior infarction Comment:Pathological Q waves are present in V2-3 after less than two hours of symptoms, possibly with some negative implications for the short-term outlook. Half an hour later, further ST se
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
Reversible ST Segment Depression Myocardial Infarction
Report:Atrial fibrillation with ventricular response 65 â 103/min Precordial ST segment depression c/w infarction/ischæmia Comment:The CPK showed a rise to 900 U/L, while the troponin remained, unaccountably, negative. Later it transpired that there
Acute Coronary Syndrome
Report:Sinus rhythm 97/min ST segment depression c/w infarction/ischaemia Comment:The distribution of ST segment shifts is similar, but less pronounced, than in Case 2: diffuse ST depression with elevation confined to aVR and V1, greater in aVR. This ma
Unlikely Early Repolarisation
Report:Sinus rhythm 78/min Anterior infarction/ischæmia Comment:The computer reported the trace as normal, apart from âprobable early repolarisation patternâ. The reciprocal ST segment depression in the inferior leads was ignored. The ECG was repea
Ischæmic ST Segment Depression
Report:Sinus rhythm 69/min Right axis deviation +95o ST segment depression c/w ischæmia Comment:The patient had unstable angina and her ECG reflects her coronary disease. The ST segments are over 1 mm depressed, horizontal (âplaneâ depression) and