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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Status Asthmaticus
Report: Sinus rhythm Right atrial abnormality ST/T changes consistent with ischæmia or hypoxia Comment: Tachycardia is conspicuous for its absence and is as sinister as was the absence of audible wheezing. The repolarisation changes reflect profound
CVA: Anterolateral ST Segment Elevation
Report:Atrial fibrillation with rapid ventricular response. VEB. Anterolateral ST segment elevation consistent with MI or ischæmia. Left ventricular hypertrophy. Comment:The patient had no clinical evidence of MI. Note the reciprocal - discrete but d
Sudden Death During Holter Monitoring
Aortic StenosisReport: Top: Sinus tachycardia 112/min VEBs, frequent, multiform, some in couplets Second strip: Sinus arrhythmia 100 - 64/min Marked ST segment depression consistent with ischæmia Third strip: Sinus arrest Junctional escape rhythm
Agonal Junctional Tachycardia
Report: Sinus bradycardia Junctional tachycardia AV dissociation VEBs, bigeminy (below) Second degree AV block, 2:1 (middle strip) Third degree AV block, ventricular standstill (Agonal) ST segment elevation Comment: The last part of a normal human
Cerebral Mimicry of MI
Report: Sinus tachycardia 127/min Right atrial abnormality VEB Acute inferolateral (or, better, inferior + anterior) myocardial infarction Prolonged QT interval Comment: The last item, QT prolongation, is the only clue that this is not an ordinary my
Fatal Acute Cor Pulmonale
Report:Sinus rhythm 80/min SVEB Right axis deviation +130o Incomplete right bundle branch block S1Q3T3 (McGinn-White) pattern suggestive of acute cor pulmonale ST/T changes consistent with ischæmia or cor pulmonale Comment:In the context of dissemi
Early Repolarisation in Inferior Leads
Report:Sinus rhythm 66/min Inferior ST segment elevation LVH voltage Comment:The unusual elevation is confined to the inferior leads. The slight one in V1-2 is normal. There is also some 0.5 mm depression in aVL, but true reciprocal changes are usually
Cooling Cardiac Arrest
Report:Sinus rhythm 99/min Intraventricular conduction defect c/c hypothermia Nonspecific ST/T changes Prolonged QT interval 0.40â QTc 0.84â Movement artefact V3 Comment:The hypothermic humps are rather inconspicuous, but there once one looks fo
ST Segment Depression in Pericarditis
Report:Sinus rhythm 84/min Borderline left atrial abnormality Left ventricular hypertrophy voltage ST segment elevation c/c pericarditis Comment:Even with a somewhat wobbly baseline, there is ST depression in V1. This is not a true reciprocal change:
Brugada Syndrome
Report:Sinus tachycardia 101/min PR interval 0.20â V1-2 morphology c/c Brugada syndrome Comment:The patient was admitted under a Neurologist, whose routine tests (scans, EEG, etc) were normal; a Cardiology consultation was arranged because of the â