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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Ischæmic Giant T Wave Inversion
Report:Sinus rhythm Borderline first degree AV block PR 0.22â Incomplete left bundle branch block QRS 0.12â Deep T wave inversion consistent with infarction/ischæmia Prolonged QTc 0.52â Comment:The patient had severe multivessel disease, wit
Left Ventricular Diastolic (Volume) Overload
Report:Sinus rhythm Left atrial abnormality First degree AV block Early transition Left ventricular hypertrophy, volume overload type Comment:The upright T waves tend to remain upright for a long time on volume overload LVH; eventually they come down
Acute Cor Pulmonale
Report: Supraventricular tachycardia, probably sinus, 160/min Right axis deviation +95o Small voltage Right bundle branch block Borderline T wave changes Comment: The rhythm strip from a later trace is superimposed over the original one to show the p
CVA Simulating Infarction
Report: Sinus rhythm 92/min Probable acute anterior infarction Borderline ST segment elevation in the inferior leads Comment: There are no reciprocal changes and the QT is prolonged, but it could still be an infarct. In the context of proven cerebral h
Myocarditis
Report: Sinus rhythm 88/min Prolonged QT interval QTc 0.50â Diffuse T wave inversion Comment: T wave changes, by themselves, are virtually never diagnostic of anything. In this setting, they are consistent with myocarditis or ischæmia. They are dee
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
Global T Wave Inversion
Report: Sinus rhythm Old inferior infarction Probable left ventricular hypertrophy Global T wave inversion[! XE "Global T wave inversion" \t "See T wave:inversion" !] Comment: The patient was septic with peritonitis and had unstable blood pressure, wi
Respiratory Artefact
Report: Sinus tachycardia 122/min rSRâ pattern in MCL1 Respiratory artefact Comment: The heatâs position vis à vis the recording MCL1 electrode changes phasically with breathing. Not only the QRS size, but the polarity of the T wave is affected. T
Tall Cerebral T Waves
Report: Sinus tachycardia Prominent T waves Nonspecific ST segment depression Prolonged QT interval Comment: This question can only mean something in a specific context. The context was one of eventually fatal cerebral Ådema associated with (?produce
Hyperkalæmia
Report:Sinus rhythm 94/min Intraventricular conduction delay (IVCD) QRS 0.14â Peaked T waves, possible hyperkalæmia Comment:Patients arresting in dialysis units are invariably treated for hyperkalæmia. On arrival to ICU, the potassium level was on