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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
LVH: Left Ventricular Volume Overload
Report:Atrial fibrillation with controlled response (56/min) Left anterior hemiblock (frontal plane QRS axis -50o) Poor R wave progression Left ventricular hypertrophy (RV5 > 25 mm) Prominent T waves consistent with LV volume overload Comment:The pat
Chronotropic Incompetence
Report:Atrial fibrillation with âcontrolledâ response Accelerated idioventricular rhythm (AIVR) VEBs Comment:Although the ventricular rate appears favourable, it is in fact inappropriately slow in the setting of shock, pulmonary hypertension (see t
MyxÅdema Diagnosed on ECG
Report:Sinus rhythm 92/min Low voltage throughout (absolute small voltage)[! XE "Low voltage" \t "See Small voltage" !] Prolonged QT interval 0.40â QTc 0.48â Diffuse nonspecific T wave changes Comment:The patient was quite distressed post-laparot
Hypothermia: Atrial Fibrillation
Report:Atrial fibrillation with ventricular response 70 â 96/min Hypothermic humps (J waves, Osborn waves) and prolonged QTc suggestive of hypothermia[! XE "J wave" \t "See Hypothermia" !][! XE "Osborn wave" \t "See Hypothermia" !] Nonspecific T wave
LVH with ST/T Changes
Report:Sinus bradycardia 49/min Left atrial abnormality Left ventricular hypertrophy with ST/T changes Comment:There are typical repolarisation changes in all the leads; the voltage criteria offer an embarrassment of riches. The LAA is part of LVH cri
ST Segment Depression in Pericarditis
Report:Sinus rhythm 84/min Borderline left atrial abnormality Left ventricular hypertrophy voltage ST segment elevation c/c pericarditis Comment:Even with a somewhat wobbly baseline, there is ST depression in V1. This is not a true reciprocal change:
LVH Voltage: RV6 > RV5 and Its Variability
Report:Atrial fibrillation with ventricular response approx. 90/min RSRâ V1 Ashmanâs phenomenon Left ventricular hypertrophy voltage Comment:In normal subjects, and even in LVH, the tallest precordial R wave is V5. If it is in V6 â in the absenc
Problems with Lead 2
Report:Atrial fibrillation with rapid ventricular response 127/min Intermittent (rate-dependent) right bundle branch block Nonspecific ST/T changes Comment:The L2 rhythm strip demonstrates that this lead is one of the worst (in this case, the worst) to
Large T Waves on Amiodarone + Haloperidol
Report:Sinus rhythm 60/min Nonspecific T wave changes ?TU waves Prolonged QT interval 0.58â QTc 0.58â Comment:The patient was on amiodarone infusion for previous AF (Fig 67a) and haloperidol for what, after extubation, was to become a delirium, a
Pericarditis
Report:Sinus rhythm 67/min First degree AV block PR interval 0.22â ST segment elevation c/c pericarditis Comment:The features favouring pericarditis are ST elevation in both the frontal and the precordial leads, involvement of V6 and normal QRS and