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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Snow-Boarderâs Snow Hypothermia
Report:Sinus bradycardia 37/min Intraventricular conduction defect c/c hypothermia QRS 0.20â Prolonged QT interval 0.73â QTc 0.58â Comment:The unfortunate youth was stripped in the snow fields to cool him, but his skull and brain were smashed b
Long QT after Cerebral Trauma
Report:Sinus tachycardia 103/min Small frontal plane voltage Diffuse T wave inversion Prolonged QT interval Comment:Some of the repolarisation changes can be due to U waves merged with T waves; while it cannot be excluded, it does not matter. The pota
Idioventricular Rhythm Mime of RVH
Report:Idioventricular (?fascicular) rhythm 57/min Giant T wave inversion Prolonged QT interval Comment:The QRS morphology suggests, superficially, RVH. In V1, however, it is not a true qR complex â there is a small primary R wave as well: itâs an
A(typical) Uræmic Pericarditis
Report:Sinus rhythm 60/min SVEBs Diffuse ST segment elevation suggestive of pericarditis Comment:This pericarditis ECG is typical, down to PR segment displacement in several leads. The patient also had typical pain and a triphasic rub (which tends to b
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:
LVH Voltage: RV6 > RV5 and Its Variability
Report:Atrial fibrillation with ventricular response approx. 90/min RSRâ V1 Ashmanâs phenomenon Left ventricular hypertrophy voltage Comment:In normal subjects, and even in LVH, the tallest precordial R wave is V5. If it is in V6 â in the absenc
Turnerâs Syndrome
Report:Sinus rhythm 91/min Right atrial abnormality, P congenitale type Right axis deviation +140o Right ventricular hypertrophy Diffuse T wave changes Comment:Women with Turnerâs syndrome have a range of ECG abnormalities, including T wave changes
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
Problems with Lead 2
Report:Atrial fibrillation with rapid ventricular response 127/min Intermittent (rate-dependent) right bundle branch block Nonspecific ST/T changes Comment:The L2 rhythm strip demonstrates that this lead is one of the worst (in this case, the worst) to
Traumatic Pericarditis
Report:Sinus rhythm 92/min Diffuse ST segment elevation c/c pericarditis Comment:The ST elevation is diffuse, reflecting a hæmopericardium rather than diffuse injury. There are also narrow Q waves in multiple leads, in this case a normal variant. A tr