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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Fascicular VT in Anterior Infarction
Report:Ventricular (fascicular) tachycardia 103/min RBBB/LAHB morphology Acute anterior infarction Comment:It is possible that the tachycardia is junctional, with aberrancy, except that lead 1 does not look right for RBBB, with or without LAHB; also, i
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
Wenckebach AV Block in Acute Inferior Infarction
Report:Sinus rhythm 90/min Möbitz 1 (Wenckebach) second degree AV block Intraventricular conduction defect (IVCD) QRS 0.12â Acute inferior infarction Comment:The most striking feature are the marked precordial reciprocal changes, indicating extens
Old Posterior and New Inferior Infarct
Report:Sinus rhythm 57/min Left axis deviation Posterior infarction, old Recent or acute inferior infarction Comment:Strictly speaking, the report should have said: inferoposterior MI, ?age. The patient had a known posterior infarction and left anter
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
Exercise Normalising Early Repolarisation
Report:Sinus rhythm 54/min Tall T waves Widespread ST segment elevation Probable early repolarisation normal variant Comment:This is a difficult tracing. Perhaps one should not be too hard on the computer in the preceding case! The fact that ST eleva
Inferoposterior Infarction
Report:Sinus tachycardia 108/min Accelerated junctional rhythm 98/min SVEB (6th complex, a pseudofusion beat) Movement artefact Pacemaker, electronic, 70/min Failure to sense Acute infero(postero)lateral infarction Low voltage in frontal leads Com
VEB Revealing Old Infarction
Report:Sinus rhythm Atrial bigeminy VEB LVH with ST/T changes Old anterior infarction Comment:A VEB can at times show infarctional Q waves not visible in normal complexes. This holds for QR and similar morphologies, but not the QS complexes44. In thi
LBBB: Primary T Wave Changes
Report:Sinus rhythm 65/min First degree AV block PR 0.28â Left bundle branch block Primary T wave changes 2, 3 and aVF Comment:LBBB always causes repolarisation changes directed opposite the main QRS deflection, especially its terminal half. They a
Old Anterior and Acute Inferior Infarction
Report:Sinus rhythm 93/min VEB (fusion beat in V1) Left axis deviation -60o Left anterior hemiblock + intraventricular conduction defect Acute inferior infarction Right ventricular infarction Old anterolateral infarction Comment:The patient had ant