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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Mitral Incompetence: LV Volume Overload
Report:Sinus rhythm. Left atrial abnormality Normal axis. Left ventricular hypertrophy with volume overload pattern. Comment:Tall prominent T waves and, later, merely upright ones, constitute the LV volume, or diastolic, overload pattern. It can only
Lead 2 Monitoring
Report: Sinus rhythm P wave axis -30o Probable left ventricular hypertrophy Comment: Lead 2 was once the traditional monitoring lead. This was based on the fact that, if the P waves were - as they usually are - positive in all three standard leads, lea
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
Global T Wave Inversion
Report:Sinus rhythm Normal axis LVH with ST/T changes ± ischæmia Comment: The peculiar thing is that this kind of T wave inversion has a striking preponderance in the elderly woman and is usually not ischæmic, let alone infarctional203. The pattern
LVH & RBBB
Report:Sinus rhythm 78/min Left atrial abnormality Third degree AV block Ventriculophasic sinus arrhythmia Junctional rhythm 42/min Right bundle branch block Left anterior hemiblock Frontal axis â 40o Left ventricular hypertrophy with ST/T chang
LVH with Right Axis Deviation
Report:Sinus rhythm 86/min Right axis deviation +105o Left atrial abnormality Left ventricular hypertrophy with ST/T changes Probable biventricular hypertrophy Comment:The unusual combination of LVH (RV6 > RV5, LAA and typical repolarisation changes)
LVH Voltage: Large R2
Report:Sinus rhythm 86/min Short PR interval 0.10â Possible LGL syndrome Left ventricular hypertrophy voltage RL2 > 15mm = 26mm Comment: The precordial leads also have high voltages: SV1 + RV6 or RV6 (Sokolow-Lyon index) > 35 mm. A voltage criteri
LVH Voltage Despite Old Infarctions
Report:Sinus rhythm 92/min PR interval 0.20â LVH voltage (RL1 >20 mm, etc) Old anterior infarction Old inferior infarction Comment:Although the commonest cause of small voltage are large or multiple infarctions, the latter may coexist with large vo
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
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