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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Turnerâs Syndrome
Report:Sinus rhythm 91/min Right atrial abnormality, P congenitale type Right axis deviation +140o Right ventricular hypertrophy Diffuse T wave changes Comment:Women with Turnerâs syndrome have a range of ECG abnormalities, including T wave changes
Katz-Wachtel Phenomenon
Report:Sinus rhythm 128/min Right atrial abnormality Right ventricular hypertrophy Left ventricular hypertrophy Comment:The voltages are the very large (91mm QRS V4, pure R 12mm V1). Katz-Wachtel phenomenon denotes the large, relatively equiphasic, mi
Atrial Septal Defect
Report:Sinus rhythm 88/min Left atrial abnormality PTFV1 > 1x1 mm Right atrial abnormality P > 2 mm in V2 Borderline (for age) right axis deviation +100o Incomplete right bundle branch block ST/T changes c/c right ventricular hypertrophy Left vent
Emphysema: Left Axis Deviation
Report:Sinus tachycardia Right atrial abnormality Left axis deviation â40o Possible old anterior infarction Suggestive of emphysema Comment:Characteristically, S2 > S3 in LAD due to emphysema vis à vis LAHB. Some argue this is not a true LAD but a
Crochetage
Report:Sinus rhythm 91/min SVEBs Right atrial abnormality P > 2mm in V2 Right axis deviation +112o Right ventricular hypertrophy qR V2 + RAD Comment:This is a very interesting case in that her ASD was discovered in the course of a CABG procedure: t
Pædiatric LAD & LVH: Tricuspid Atresia
Report:Sinus rhythm 160/min Right atrial abnormality, P congenitale type Left axis deviation â30o (for age: 0o - -90o) Left ventricular hypertrophy Comment:The infant had a systemic-pulmonary artery shunt and was doing well clinically. The striking
Transposition: Biventricular Hypertrophy
Report:Sinus rhythm 76/min Borderline first degree AV block PR 0.18â Right atrial abnormality, P congenitale type Right bundle branch block Right ventricular hypertrophy QRV1 + RAA Biventricular hypertrophy Katz-Wachtel phenomenon Comment:Again
RVH in Emphysema
Report:Sinus rhythm 96/min Right axis deviation +170o Right atrial abnormality Right ventricular hypertrophy Poor R wave progression Comment:The P wave axis is almost +90o and it has the tall peaked look of P pulmonale, with relatively uncommon init
P congenitale: Tetralogy of Fallot
Report:Sinus rhythm First degree AV block PR 0.24â Right atrial abnormality P congenitale (P axis +60o) Right axis deviation +125o Right bundle branch block Right ventricular hypertrophy Comment:In P congenitale the atrial wave is quite large