Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Embolic Anterior Infarction in Endocarditis
Report:Sinus tachycardia 108/min T wave changes c/w infarction/ischæmia Comment:Again, there are no reciprocal changes in the inferior leads. The embolus lodged distal to the first diagonal (D1) and septal (S1) branches of the LAD. This is almost invar
Discrete Lateral Infarction
Report:Sinus rhythm 53/min Acute (high) lateral infarction Comment:It often the case that in (high) lateral infarctions the most prominent early feature is the reciprocal change in the inferior leads. However, whenever ST segment elevation and depressio
Right Ventricular Infarction or Prinzmetal Angina?
Report:Sinus rhythm 78/min SVEBs, one aberrant, two blocked Wenckebach phenomenon Acute inferior infarction Right ventricular infarction Left ventricular hypertrophy with ST/T changes Comment:The diagnosis of Prinzmetal angina was suggested when ser
Inferolateral Infarction or Prinzmetal Angina?
Report:Sinus tachycardia 112/min Acute inferolateral infarction Comment:Again, like in the previous example, one would have to report infarction. This time however it was documented spasm in a cocaine addict. The artery was probably left circumflex, giv
Acute Anterolateral Infarction
Report:Sinus rhythm 68/min VEBs Acute anterolateral infarction Left ventricular hypertrophy voltage Comment:The left circumflex artery was 100% blocked, but successfully dilated and stented at the PTCA. However, a sizeable posterolateral infarction re
Another Proximal LAD Lesion
Report:Sinus tachycardia 133/min (Hyper)acute anterior infarction Comment:The indicative ST/T changes are in the anteroseptal leads and include lateral leads 1 and aVL. There is also marked reciprocal depression in the inferior leads. These are both sig
NSTEMI: Non-ST-Elevation Myocardial Infarction
Report:Sinus rhythm 63/min Diffuse T wave inversion Prolonged QTc 0.49â Comment:The patientâs presentation was âatypicalâ but, after all, she was a woman35. Diabetics may also have silent infarcts more than any other group, with their autonomic
Churg-Strauss Infarction
Report:Sinus rhythm 75/min SVEBs Left ventricular hypertrophy with ST/T changes ST/T changes also c/w infarction/ischaemia Comment:The patient was admitted with unstable angina but deteriorated over 24 hours into cardiogenic shock and died. The ECG i
Lateral Infarction: Stage of Illusion
Report:Sinus rhythm 66/min Within normal limits Comment:This ECG was taken 10 hours after the one shown below, with obvious (high) lateral infarction (Fig 4a). The patient had the benefit of primary PTCA, with excellent outcome, but his ECGs before and
Acute Anteroseptal and Old Inferior Infarction
Report:Sinus rhythm 70/min Left axis deviation â 70o Old inferior infarction & LAHB Acute anteroseptal infarction Comment:The evidence for old inferior MI (known to have occurred 7 years previously) is minute Q wave in the last complex of leads 2 a