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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Wenckebach AV Block in Acute Inferior Infarction
Report:Sinus rhythm 90/min Möbitz 1 (Wenckebach) second degree AV block Intraventricular conduction defect (IVCD) QRS 0.12â Acute inferior infarction Comment:The most striking feature are the marked precordial reciprocal changes, indicating extens
Stage of Illusion
Report:Sinus rhythm 63/min Normal trace Comment:This is a potentially dangerous situation: acute infarct pattern normalises in that ST segments are again isoelectric and the T wave have not yet turned. Below (Fig 54a) is the trace taken 3 hours previous
Surprising Face of Capnocytophaga canimorsus Septicaemia
Report:Sinus rhythm 90/min Acute anterolateral infarction Comment:The patient had a clinically obvious septic shock. The organism was Capnocytophaga canimorsus, a rare cause of systemic sepsis (dogsâ teeth being cleaner than human) distinguished by it
Old Posterior and New Inferior Infarct
Report:Sinus rhythm 57/min Left axis deviation Posterior infarction, old Recent or acute inferior infarction Comment:Strictly speaking, the report should have said: inferoposterior MI, ?age. The patient had a known posterior infarction and left anter
Unlikely Early Repolarisation
Report:Sinus rhythm 78/min Anterior infarction/ischæmia Comment:The computer reported the trace as normal, apart from âprobable early repolarisation patternâ. The reciprocal ST segment depression in the inferior leads was ignored. The ECG was repea
Inferoposterior Infarction
Report:Sinus tachycardia 108/min Accelerated junctional rhythm 98/min SVEB (6th complex, a pseudofusion beat) Movement artefact Pacemaker, electronic, 70/min Failure to sense Acute infero(postero)lateral infarction Low voltage in frontal leads Com
VEB Revealing Old Infarction
Report:Sinus rhythm Atrial bigeminy VEB LVH with ST/T changes Old anterior infarction Comment:A VEB can at times show infarctional Q waves not visible in normal complexes. This holds for QR and similar morphologies, but not the QS complexes44. In thi
Small Ts in 1 and V6
Re-arrange ECGs to true time sequence, re-write report! Report:Sinus rhythm 59/min T wave changes c/w ischæmia Comment:The TV1 > TV646 or T3 > T1 phenomenon is less well known than it should be. It is not normal, as most computer programmes would have
Old Anterior and Acute Inferior Infarction
Report:Sinus rhythm 93/min VEB (fusion beat in V1) Left axis deviation -60o Left anterior hemiblock + intraventricular conduction defect Acute inferior infarction Right ventricular infarction Old anterolateral infarction Comment:The patient had ant
Classical Acute Anterior Infarction
Report:Sinus rhythm 70/min Acute anterior infarction Comment:The tracing is shown because of its typical upwardly convex ST segment elevation, involvement of 1 and aVL and deep reciprocal ST depression, signatures of proximal LAD occlusion. It evolved