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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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
Localised Traumatic Pericarditis
Report:Sinus tachycardia 116/min Anterolateral ST segment elevation Comment:The anterolateral ST segment elevation exceeds 5 mm (in V4) and, although saddle-shaped and without obvious reciprocal changes in the inferior leads, striking enough to scare th
Classical Acute Anterior Infarction
Report:Sinus rhythm 70/min Acute anterior infarction Comment:The tracing is shown because of its typical upwardly convex ST segment elevation, involvement of 1 and aVL and deep reciprocal ST depression, signatures of proximal LAD occlusion. It evolved
Old and New Inferior Infarction
Report:Sinus bradycardia 44/min First degree AV block Right bundle branch block Acute inferior infarction Comment:The splayed, low-amplitude P waves are difficult to time with respect to possible 2:1 block at 88/min. Even isorhythmic AV dissociation c
Isolated Posterior Infarction
Report:Sinus rhythm 68/min Old posterior infarction Comment:There is, in V1, a dominant R wave (R/S > 1.0) with upright T wave and absence of other causes of dominant R there (RBBB, WPW âAâ, RVH). True posterior infarct. The tracing is otherwise n
Posterior Infarction or Normal Variant
Report:Sinus rhythm 60/min Probable posterior infarction Comment:This trace is more abnormal than the preceding one, with flat or low-amplitude T waves in the inferolateral leads. However, the heart was normal echocardiographically and on autopsy. The p
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
Wrong Reason for the Right Report
Report:Sinus tachycardia 128/min Third degree AV block Junctional escape rhythm 38/min Acute inferior and right ventricular infarction (Right-sided V leads as labelled) Atrial infarction Comment:The report followed a previous one, on a preceding ECG
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
Frequent, Multiform, R-on-T VEBs in Acute MI
Report:Atrial fibrillation Possible run of accelerated junctional rhythm 75/min (first four beats) VEBs, dimorphic couplet, R-on-T phenomenon Acute anterolateral infarction Probable old inferior infarction Comment:There is obvious ST segment elevati