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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Global T Wave Inversion
Report: Sinus rhythm Global T wave inversion Lateral ST segment elevation Poor R wave progression Comment: The striking ECG changes bore no relationship to the patientâs symptoms. There was no evidence of infarction. The ECG normalised and, three we
Pulmonary Embolism: Global T Inversion
Report: Atrial fibrillation with ventricular response 67/min Right axis deviation +90o S1Q3T3 (McGinn-White) pattern consistent with pulmonary embolism Diffuse T wave inversion Comment: The T waves make the trace unusual; embolism tends to produce sha
Brain Waves
Report: Sinus rhythm 90/min Prominent T waves Prolonged QT interval Comment: The patient became brain dead soon after this trace was taken, from a massive subarachnoid hæmorrhage. The âcerebralâ repolarisation changes are most specific with giant
Pericarditis â T Wave Stage (Stage III)
Report: Sinus rhythm Nonspecific T wave changes Possible LVH RV6 > RV5 Comment: There is nothing to specifically point to pericarditis as the cause of this young manâs T wave flattening and inversion, but it is perfectly consistent with that diagnos
Post-LBBB T Wave Inversion
Report: Sinus rhythm Intermittent LBBB Widespread symmetrical T wave inversion Prolonged QT interval 0.60â Comment: This patient, with recurrent TIAs, could have post-syncopal T wave inversion. There was, however, no history of any âeventâ - cer
Pseudoephedrine Carditis
Report: Sinus rhythm 96/min Nonspecific ST/T changes Comment: The definite T wave inversion in multiple leads is consistent with sympathomimetic agentsâ toxicity. The tachycardia was already resolving at the time of this recording; the trace normalise
Another Pseudoephedrine Carditis
Report:Sinus tachycardia 102/min PR interval 0.20â VEB Nonspecific ST/T changes Comment: This patientâs changes are more severe than those of the previous case. He had been taking more pseudoephedrine for longer. Nevertheless, the ECG normalised w
Unread Pre-Discharge ECG
Report: Sinus rhythm 58/min Left axis deviation - 50o Intraventricular conduction defect (IVCD) Probably LAHB + non-specific conduction delay Possible LVH Giant anteroseptal T wave inversion Prolonged QT interval 0.660â (QTc for 58/min 0.45â)
S1Q3T3 Pattern: Pulmonary Embolism
Report: Sinus tachycardia 152/min Normal axis +70o S1Q3T3 (McGinn-White) pattern of acute cor pulmonale Comment: This patient had the full hand: predisposing thrombophlebitis, left pleuritic chest pain, dyspnÅa, shock, clear CXR, hypoxæmia on 15 L/mi
Pheochromocytoma Crisis
Report:Sinus rhythm 54/min Short PR interval 0.10â Global T wave inversion Prolonged QT interval 0.56â Qtc for 54/min = 0.47â Comment: The striking T wave inversion, like that caused by its âcerebralâ counterpart, is caused by a catecholami