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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Old and New Inferior Infarction
Report:Sinus bradycardia 44/min First degree AV block Right bundle branch block Acute inferior infarction Comment:The splayed, low-amplitude P waves are difficult to time with respect to possible 2:1 block at 88/min. Even isorhythmic AV dissociation c
Isolated Posterior Infarction
Report:Sinus rhythm 68/min Old posterior infarction Comment:There is, in V1, a dominant R wave (R/S > 1.0) with upright T wave and absence of other causes of dominant R there (RBBB, WPW âAâ, RVH). True posterior infarct. The tracing is otherwise n
Posterior Infarction or Normal Variant
Report:Sinus rhythm 60/min Probable posterior infarction Comment:This trace is more abnormal than the preceding one, with flat or low-amplitude T waves in the inferolateral leads. However, the heart was normal echocardiographically and on autopsy. The p
Extensive Acute Anterior Infarction
Report:Sinus rhythm 97 - 100/min VEBs, bigeminal Left axis deviation Extensive (hyper)acute anterior infarction Comment:All the precordial leads, as well as the âlateralâ 1 and aVL show ST segment elevation reciprocated by depression in the three
Wrong Reason for the Right Report
Report:Sinus tachycardia 128/min Third degree AV block Junctional escape rhythm 38/min Acute inferior and right ventricular infarction (Right-sided V leads as labelled) Atrial infarction Comment:The report followed a previous one, on a preceding ECG
Inferior Infarction and AIVR
Report:Sinus rhythm & arrhythmia 80/min Accelerated idioventricular rhythm 80/min Retrograde conduction Fusion beat (third last complex) Acute inferior infarction Comment:The sinus cycle lengthens over the first three beats, allowing the AIVR to take
Inferior MI Reperfusion â Fascicular VT
Report:Ventricular tachycardia 156/min/min Probable inferior infarction Comment:The rhythm was sufficiently irregular for the computer to classify it as AF with borderline IVCD. It becomes more regular, however, just after the middle of the trace and en
Old and New Anterolateral MI with RBBB
Report:Sinus rhythm 70/min Right axis deviation (RAD) +100o Right bundle branch block Acute anterolateral + inferior infarction Comment:Three years previously, the patient was in CCU with known old anterolateral MI and chronic RBBB (Fig 79a). He was t
Right Ventricular Infarction
Report:Junctional rhythm 44/min Acute inferior infarction Right ventricular infarction Comment:The patientâs shock may well be due to a large infarction, but this is not, electrocardiographically, visible in inferior infarcts unless the reciprocal ch
Inferior Infarction: Blocks and Arrhythmias
Report:Sinus tachycardia 122/min Second degree AV block, unspecified Junctional escape beats and rhythm 46/min Non-phasic aberrant conduction Acute inferior infarction Comment:It is said that the presence of 2o AV block in inferior infarction denotes