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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Obscure ST Segment Elevation
Report: Sinus rhythm Diffuse ST segment elevation Possible ischæmia Comment: The changes occurred following the aminophylline-induced tachycardia (Fig 129a below). The prominent T waves also suggest ischæmia, but there was no reason to suspect it oth
Acute Pericarditis
Report: Sinus rhythm Acute pericarditis Comment: The trace is typical Stage I acute pericarditis, with typical ST segment elevation in all the leads except (equally typically) depression aVR and V1112. Day later, there was an episode of atrial fibrilla
Hyperkalæmia
Report: Sinus rhythm ST/T changes consistent with hyperkalæmia Comment: The T waves are peaked, tall and narrow, tent-shaped with soupçon of a waist â typical of hyperkalæmia. The ST segments are elevated in several leads, reflecting the dialyzable
Brugada Alarms
Report:Sinus rhythm 70/min Borderline left atrial abnormality Anteroseptal ST segment elevation Comment:The patient presented to Casualty following a syncopal attack and his ECG, especially in lead V2, showed a saddleback-type (type 2) ST segment eleva
Early Repolarisation â Inferior Leads
Report: Sinus arrhythmia 44 - 66/min Early repolarisation normal variant Comment: The ST segment elevation in the inferior leads is preceded by a characteristic notch. The trace is otherwise normal. It remained stable over several days (Fig 180a below).
Pericarditis
Report: Sinus rhythm 97/min Diffuse ST segment elevation suggestive of acute pericarditis Comment: The trace in very suggestive of acute pericarditis. The timid report of âinferior wall ischæmiaâ is preserved for studentsâ education. It became qu
Agonal ST Segment Elevation
Report: Supraventricular rhythm of uncertain origin Sinus rhythm, with sinus arrests Probable junctional rhythm Progressive ST segment elevation Asystole Comment: Initial ST depression, followed by elevation, is quite common terminal event. Presumabl
Myocardial Infarction and Cerebral Hæmorrhage
Report: Sinus tachycardia Left anterior hemiblock Left ventricular hypertrophy Acute anterior infarction Comment: The pattern is indistinguishable from that of acute myocardial infarction. There was, however, no other evidence for it, in life or at au
Pericarditis Post-Lobectomy
Report: Sinus rhythm 98/min Anterolateral ST segment elevation consistent with pericarditis Possible old inferior infarction Leads aVL and aVF are âreversedâ (mismounted) Lead V1 vertically displaced. Comment: The pattern remained unchanged over
Faulty Calibration
Report: Sinus rhythm Faulty standardisation (upper left-hand corner) Sloping ST segment depression probably due to faulty standardisation Comment: The repeat trace in the CCU was completely normal (Fig 201a below). Instead of receiving an apology and