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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
RVH with AF in COAD
Report: Atrial fibrillation (coarse) with rapid ventricular response Phasic aberrant conduction, probably incomplete RBBB (6th beat in aVR) Right axis deviation Right ventricular hypertrophy (RVH) Probable left ventricular hypertrophy (LVH) Comment:
Fatal Acute Cor Pulmonale
Report:Sinus rhythm 80/min SVEB Right axis deviation +130o Incomplete right bundle branch block S1Q3T3 (McGinn-White) pattern suggestive of acute cor pulmonale ST/T changes consistent with ischæmia or cor pulmonale Comment:In the context of dissemi
Hyperkalæmia
Report:Sinus rhythm 89/min Borderline first degree AV block PR interval 0.20â Right axis deviation +140o Intraventricular conduction delay QRS 0.13â Peaked T waves c/c hyperkalæmia Comment:All the T waves (even the inverted ones) are peaked, b
Evanescent RVH: LPHB
Report:Atrial fibrillation, aver. Response 100/min Right axis deviation +140o Right bundle branch block QRV1 Right ventricular hypertrophy or left posterior hemiblock Comment:This case illustrates the problem of assigning the origin of RAD. It could
COCM: Trifascicular Block
Report:Sinus rhythm 84 - 94/min Left atrial abnormality First degree AV block Right bundle branch block Right axis deviation +125o ?Left posterior hemiblock ?Right ventricular hypertrophy Left ventricular hypertrophy voltage Limb lead R wave > 20
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)
Pulmonary Embolism
Report:Sinus tachycardia 122/min Right axis deviation +110o S1Q3T3 (McGinn-White) pattern Late transition Nonspecific T wave changes Comment:Obese young woman with unexplained BP fluctuations and this ECG does not inspire a long differential diagnosi
Mitral Stenosis
Report:Sinus rhythm 99/min Right axis deviation +125o Late transition (clockwise rotation) Left atrial abnormality Small voltage in frontal leads Comment:The combination of LAA and presumptive RVH (from RAD and clockwise rotation) is suggestive of mi
Ebsteinâs Anomaly
Report:Sinus rhythm 152/min Right axis deviation +140o Incomplete right bundle branch block Probable right ventricular hypertrophy QRV1, RAD Comment: This is one of the ECG forms of Ebsteinâs anomaly; most of them have a relatively small, somewhat
Pædiatric Right Ventricular Hypertrophy
Report:Probable flutter 300/min with 2:1 block Right axis deviation Right ventricular hypertrophy Comment:In children with congenital heart disease the abnormal RAD is usually manifest as S1S2S3 morphology. The qR in V1 indicates that it is a true RAD,