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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Localised Traumatic Pericarditis
Report:Sinus tachycardia 116/min Anterolateral ST segment elevation Comment:The anterolateral ST segment elevation exceeds 5 mm (in V4) and, although saddle-shaped and without obvious reciprocal changes in the inferior leads, striking enough to scare th
Classical Acute Anterior Infarction
Report:Sinus rhythm 70/min Acute anterior infarction Comment:The tracing is shown because of its typical upwardly convex ST segment elevation, involvement of 1 and aVL and deep reciprocal ST depression, signatures of proximal LAD occlusion. It evolved
Ischæmic ST Segment Depression
Report:Sinus rhythm 88/min ST/T changes suggestive of ischæmia Comment:In a person with chest pain (or equivalent â women have a lot of those55) this ECG is diagnostic. There are plane, slowly rising, or downsloping ST segments in many leads and elev
Inferolateral Infarction & LBBB
Report:Sinus rhythm 88/min Left bundle branch block Acute inferolateral infarction Comment:Unlike the previous caseâs IVCD, this one shows typical LBBB, with sharp S descent and slower ascent in V1. Despite this, there is a concordant ST segment elev
Positive Exercise Test
Report:Early ST segment depression consistent with severe ischæmia Comment:The peak exercise attained a rate of 152/min just before the end of Stage 1 (Bruce protocol); the diastolic pressure rose from 100 to 105 mmHg; most importantly, the patient repo
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
Massive âReciprocalâ Changes
Report: Sinus rhythm PR interval 0.20â Acute lateral infarction Widespread reciprocal ST segment depression Comment: It never, of course, quite certain how much of the ST depression is indeed reciprocal to the puny elevation in aVL and how much is i
CVA Mimics Anterior MI
Report:Sinus rhythm 93/min PR interval 0.09â Acute anterior infarction/ischæmia Also consistent with CVA Comment:This is a relatively frequent occurrence in severe brain injury from any cause; cerebral hæmorrhage is the leading cause at the Canber
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
Traumatic Pericarditis
Report: Sinus tachycardia 100/min Diffuse ST segment elevation suggests pericarditis Comment: The ST segments started to rise within 12 hours of injury and reached maximum at 36 hours, when this tracing was obtained. The admission ECG, taken approximate