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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Giant T Wave Inversion: Cerebral Hæmorrhage
Report: Sinus rhythm Left anterior hemiblock Giant T wave inversion Comment: The patient, ever more rousable, started complaining of severe headache and a lumbar puncture136 showed blood and xanthochromia; she was transferred to the ICU. It is not an i
Giant T Wave Inversion After GA
Report: Sinus rhythm Left axis deviation Giant T wave inversion Comment: Schamroth rightly states that syncope is the preceding event in cases of giant T wave inversion. In this case (and only two others, in my experience) the only syncope had been tha
Global T Wave Inversion
Report: Sinus rhythm 65/min Global T wave inversion Prolonged QT interval 0.52â QTc for 65/min = 0.42â Comment: This healthy young woman arrested after administration of cocaine paste to the nose and injection of âsomeâ 1:200,000 adrenaline, d
Myopericarditis
Report: Sinus rhythm Global T wave inversion c/c infarction/ischæmia Comment: The T waves show deep, if somewhat asymmetrical, inversion. The pain continued and was, at times, severe. Propranolol and nitrates did not help. As the T waves deepened furth
Volume Overload LVH
Report:Sinus rhythm 75/min Left atrial abnormality Left ventricular hypertrophy voltage Prominent T waves c/w volume overload Comment:In the diastolic overload of chronic aortic or mitral incompetence T waves may not only remain upright with LVH, but
Pædiatric RVH: Upright TV1
Report: Sinus rhythm 160/min [rate 110-178 3-11 months] Left atrial abnormality Right axis deviation +120o [normal for age] Right ventricular hypertrophy Left ventricular hypertrophy voltage RV6 = 30 mm Possible biventricular hypertrophy Comment: T
Juvenile Notch
Report: Sinus rhythm Axis +90o Early transition Normal trace Juvenile notch Comment: The interesting part of the ECG are leads V2 and V3, where a prominent juvenile notch of the T wave mimics 2:1 AV block. If only these two leads were available, it w
Right Atrial Abnormality
Report: Sinus rhythm Right atrial abnormality Comment: The P wave is over 2.5 mm tall . It is characteristically peaked, and its axis is over +70o; these additional criteria are not necessary for the diagnosis of RAA. The older term, P pulmonale, is st
Spurious Pulmonary Embolism
Report: Sinus rhythm Reversed arm leads Left atrial abnormality Borderline T wave changes. Comment: The trace was taken 9 hours after the one in Case 211, presumably because of further chest pain. The interesting thing is, of course, the physicianâs
LBBB & Hyperkalæmia
Report: Junctional rhythm 57/min VEBs Left axis deviation Left bundle branch block Tall T waves consistent with hyperkalæmia Comment: The QRS narrowed to a left anterior hemiblock and the T waves normalised as potassium level came under control (Fig