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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
NSTEMI: Non-ST-Elevation Myocardial Infarction
Report:Sinus rhythm 63/min Diffuse T wave inversion Prolonged QTc 0.49â Comment:The patientâs presentation was âatypicalâ but, after all, she was a woman35. Diabetics may also have silent infarcts more than any other group, with their autonomic
Churg-Strauss Infarction
Report:Sinus rhythm 75/min SVEBs Left ventricular hypertrophy with ST/T changes ST/T changes also c/w infarction/ischaemia Comment:The patient was admitted with unstable angina but deteriorated over 24 hours into cardiogenic shock and died. The ECG i
Lateral Infarction: Stage of Illusion
Report:Sinus rhythm 66/min Within normal limits Comment:This ECG was taken 10 hours after the one shown below, with obvious (high) lateral infarction (Fig 4a). The patient had the benefit of primary PTCA, with excellent outcome, but his ECGs before and
Acute Anteroseptal and Old Inferior Infarction
Report:Sinus rhythm 70/min Left axis deviation â 70o Old inferior infarction & LAHB Acute anteroseptal infarction Comment:The evidence for old inferior MI (known to have occurred 7 years previously) is minute Q wave in the last complex of leads 2 a
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
Acute Extensive Anterior Infarction: Junctional Rhythm
Report:Junctional rhythm 47/min Acute extensive anterior infarction Comment:There are some semantic problems here. A single dissociated P wave â very likely sinus â is seen just before the last QRS complex. Should sinus rhythm be reported as well? O
Early Posterior Infarction
Report:Atrial rhythm 61/min ST/T changes c/w infarction/ischæmia Comment:At this stage it is unwise to be more specific. With plump-looking inferior T waves it is possible that this is where infarct pattern will evolve. There is reciprocal depression i
Isolated Atrial Infarction
Report:Sinus rhythm 103/min PR segment elevation c/w atrial infarction Comment:In leads 2, aVF, V5-6 there is definite PR segment elevation indicating atrial infarction or ischæmia. As in the case of right ventricle, thin-walled atria have ischæmia ra
Posterior Non-Q Infarction
Report:Sinus rhythm 56/min T wave changes c/w ischaemia Comment:The ECG is almost normal (the computer and some of the staff repeatedly stated it). And yet, the anteroseptal T waves are much taller than those with tall R waves. This is an example of TV1
Unstable Angina
Report:Sinus rhythm 84/min Early transition ST segment depression suggestive of ischæmia Comment:There is enough horizontal (âplaneâ) or slowly rising (e.g., lead 2, V4) ST depression to define a positive exercise test, especially when followed by