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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Hyperkalæmia
Report: Supraventricular tachycardia, probably sinus, 128/min Right bundle branch block Left anterior hemiblock Tall T waves suggest hyperkalæmia Comment: Hyperkalæmia diminishes the amplitude of P waves; they eventually disappear altogether, with a
Pulmonic Stenosis
Report: Sinus rhythm Right axis deviation +140o Right bundle branch block Probable right ventricular hypertrophy Comment: The congenital PS was repaired 21 years previously; a late sequel was a right ventricular aneurysm, scheduled for elective repair
Dextrocardia with RBBB
Report: Sinus rhythm Mirror-image dextrocardia Right bundle branch block Nonspecific ST/T changes Comment: The precordial sequence gives the diagnosis. In the (much commoner) situation of technical armsâ lead reversal153, the V leads are unaffected.
Cor Pulmonale: RVH with RBBB
Pre-Transplant Fibrosing AlveolitisReport:Sinus rhythm. Borderline first degree AV block (PR 0.20"). Right atrial abnormality ? biatrial enlargement. Right axis deviation Right bundle branch block. Right ventricular hypertrophy Comment:The tendency
Left Atrial Abnormality & Three Other Blocks
Report:Sinus rhythm 63/min Left atrial abnormality First degree AV block PR 0.36â Left anterior hemiblock Right bundle branch block LVH voltage RaVL 14 mm Comment:The P wave is 0.16â (4 mm) long in lead 2 and, like the classical P mitrale of
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
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
Myocardial Contusion
Report:Sinus tachycardia 100/min First degree AV block Right bundle branch block Inferior infarction ?age Possible atrial infarction Poor R wave progression Comment:The trace is very abnormal and, in the context of blunt chest trauma, quite suggesti
Sarcoidosis
Report:Sinus tachycardia 118/min PR interval 0.20â Right axis deviation Alternating (2:1) right bundle branch block Nonspecific ST/T changes Possible lateral infarction ?age Comment: The tracing, of course, provides scant clues to its provenance.
Myocarditis: the Cascade Effect
Report:Sinus tachycardia 122/min First degree AV block PR interval 0.22â Left anterior hemiblock Right bundle branch block ST/T changes c/c anteroseptal infarction or myocarditis Comment: Sinus P waves are best seen at the end of the T wave in th