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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
LVH with ST/T Changes
Report:Sinus rhythm 84/min Three SVEBs in bigeminy LBBB aberrancy Left ventricular hypertrophy with ST/T changes Left atrial abnormality ST/T changes also suggestive of ischæmia Possible old anteroseptal infarction Comment:In old patients with aor
Absolute Small Voltage
Report:Supraventricular tachycardia, possibly sinus, 146/min Absolute small voltage QRS < 5 mm frontal, < 10 mm chest leads Diffuse ST segment depression c/c infarction/ischæmia Comment:Some of the best examples of âischæmicâ ST segment depressi
Atypical LBBB: Anterolateral Q Waves
Report: Sinus rhythm SVEBs, runs of SVT Left axis deviation â50o Intraventricular conduction delay, probably atypical left bundle branch block Probable old anterior infarction ST/T changes suggest infarction/ischæmia. Comment: Post-arrest ECGs (a
Junctional Bigeminy & Curious ST Elevation?
Report: Sinus arrest Junctional escape rhythm Bigeminy ? reentry ? different junctional foci ? junctional exit block Post-extrasystolic ST segment elevation Comment: The above diagnoses, reasonable as they may sound, were all wrong. The only person a
Advanced Second Degree AV Block
Report:Sinus tachycardia 100/min Second degree AV block, advanced ST/T changes consistent with MI/ischæmia Comment:The conducted P waves are all associated with slightly variable first degree block and the QRS complex is narrow: the site of the block
Junctional Bigeminy & Curious ST Elevation?
Report: Sinus arrest Junctional escape rhythm Bigeminy ? reentry ? different junctional foci ? junctional exit block Post-extrasystolic ST segment elevation Comment: The above diagnoses, reasonable as they may sound, were all wrong. The only person a
Advanced Second Degree AV Block
Report:Sinus tachycardia 100/min Second degree AV block, advanced ST/T changes consistent with MI/ischæmia Comment:The conducted P waves are all associated with slightly variable first degree block and the QRS complex is narrow: the site of the block
R-on-T Ventricular Fibrillation
Report: Sinus tachycardia Second degree AV block VEBs Bigeminy R-on-T phenomenon Ventricular fibrillation ST segment elevation consistent with epicardial injury Comment: The VEB with the shortest coupling interval initiates VF. It comes right on to
Sinus Bradycardia & AIVR
Report: Sinus bradycardia 37 - 44/min Second degree AV block(unspecified) First degree AV block Accelerated idioventricular rhythm (AIVR) 57/min AV dissociation with interference ST segment elevation consistent with ischæmia/infarction Comment: Thi
Ventricular Fibrillation
Report: Sinus tachycardia 118/min VEB Ventricular fibrillation DC cardioversion artefact (middle of third strip) CPR artefact Junctional rhythm Sinus rhythm and tachycardia, VEB & SVEBs (bottom strip) Marked ST segment elevation post-cardioversion