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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
AIVR in Anterior Infarction
Report:Accelerated idioventricular rhythm 72/min Supraventricular capture beats Ventricular fusion beats (middle of the trace) Acute extensive anterior infarction Comment:AIVR is commoner in inferior than anterior infarcts, but reperfusion tends to ev
Acute Infarction with Pre-existing LBBB
Report:Sinus rhythm 60/min Left atrial abnormality (LAA) Left bundle branch block Acute inferior & anterior infarction Comment:The diagnosis was based on new and marked ST segment elevation in the inferior leads and V3 as well as concordant T inversio
Tombstones
Report:Sinus tachycardia 111/min Acute extensive anterior infarction Comment:The ST segment hyperelevtion (âtombstoningâ) bodes ill for the patient. This one died within 24 hours, ventilated for cardiogenic shock and resultant multi-organ failure. A
Right Ventricular Infarction
Report:Accelerated junctional rhythm 95/min SVEBs (two couplets) Absolute small voltage Acute inferior infarction Right ventricular infarction Comment:The repolarisation changes are massive for the size of the remaining QRS complexes and the trace lo
Very Radical Prostatectomy
Report:Sinus tachycardia 134/min ST/T changes c/w infarction/ischæmia Comment:Urology disasters were commonplace when I was young. With better perioperative care and more assertive anæsthetic departments they are no longer a regular feature of hospita
Right Ventricular Infarction: Right Chest Leads
Report:Sinus rhythm 96/min Möbitz 1 (Wenckebach) AV block 3:2 and 2:1 conduction Acute inferior infarction Right ventricular infarction Comment:V1 and V2 are still there, but reversed, with the right-sided chest lead hook-up. V3R-6R have additional
Acute Inferolateral Infarction
Report:Accelerated junctional rhythm 93/min Acute inferolateral infarction Comment:There is no obvious atrial activity, dissociated or otherwise. The patient had just arrived to CCU from Casualty and the r-tPA had just been given. The rhythm was interpr
Right Ventricular Infarction: Inferior MI with RBBB
Report:Sinus rhythm 65/min Third degree AV block Junctional escape rhythm 40/min Right bundle branch block Left ventricular hypertrophy voltage R2 > 15 mm Acute inferior infarction Right ventricular infarction Comment:It is unusual for inferior in
Reperfusion: Rapid Development of Q Waves
Report:Sinus rhythm 63/min ST/T changes c/w infarction/ischæmia Comment:This is somewhat atypical tracing in that the prominent T waves are narrow-based and pointed, the ST elevation is modest and horizontal and there are no reciprocal changes in the i
Non-Q Myocardial Infarction
Report:Sinus rhythm 80/min Non-specific T wave changes Comment:By convention, the report could have said ânon-specific ST/T changesâ or ânon-specific repolarisation changesâ; it matters little. Such changes are almost invariably non-specific.Thi