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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Acute Inferior Infarction
Report: Sinus rhythm 60/min PR interval 0.22â Acute inferior infarction Comment: This is a very early stage, with inferior T waves still large and upright. The ST segment is markedly displaced (6 mm elevation in Lead 3) in both the indicative and the
Right Axis Deviation: Lateral Infarction
Report:Sinus tachycardia 110/min Right axis deviation +150o Postero-antero-lateral infarction, probably recent Comment:The Q waves in the (high) lateral leads 1 and aVL are responsible for the RAD. They are called âlateralâ by convention and do not
Accelerated Idioventricular Rhythm
Report:Accelerated idioventricular rhythm 96/min AV dissociation Fusion beat Sinus rhythm 98/min Anterior infarction ?age Comment:This has, at times, been called slow VT. There is no such thing: the term is a contradictio in adjecto. There can be no
Repetitive VT
Report:Sinus rhythm ? rate Borderline 1o AV block Repetitive VT 120/min Non-specific ST/T changes Comment:This patient later sustained acute inferior infarction (Fig 198a). The RCA was opened by PTCA and the ST segment elevation in the inferior leads
Multiform Ventricular Tachycardia
Report: Atrial fibrillation Runs of multiform ventricular tachycardia 150 â 180/min Right axis deviation +165o Probable right bundle branch block Acute inferior infarction Comment: There are only four pure supraventricular beats to be seen â two
VT: Dressler Beat
Report:Ventricular tachycardia 188/min Termination by ventricular fusion beat (Dressler beat) Sinus tachycardia 120/min Probable inferior infarction Comment:The rhythm strip is not taken simultaneously with the three channels above. This has the advan
Shocking VT Cheating the Paddles
Report: Ventricular tachycardia 210/min Spontaneous termination Sinus rhythm Left atrial abnormality (LAA) VEBs Acute anterior infarction Movement artefact Leads V2-3 missing Comment: The tracing is rather chaotic, secured in a hurry on a sick pat
Shocking Tachycardia !
Report:Sinus tachycardia 144/min Right bundle branch block Left anterior hemiblock (axis â70o) Acute anterior infarction. Comment:The Casualty staff claimed having seen fusion beats to support their line of therapy. None could be documented, in retr