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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Hyperkalæmia
Report:Sinus rhythm 89/min Borderline first degree AV block PR interval 0.20â Right axis deviation +140o Intraventricular conduction delay QRS 0.13â Peaked T waves c/c hyperkalæmia Comment:All the T waves (even the inverted ones) are peaked, b
Giant T Wave Inversion
Report: Sinus rhythm Giant T wave inversion Comment: The patient became brain dead soon after the tracing was obtained. The ECG is diagnostic of a cerebral event. The phenomenon of giant T wave inversion is discussed in her (and Case 190âs) case repor
Pulmonary Embolism
Report:Sinus tachycardia 122/min Right axis deviation +110o S1Q3T3 (McGinn-White) pattern Late transition Nonspecific T wave changes Comment:Obese young woman with unexplained BP fluctuations and this ECG does not inspire a long differential diagnosi
Mime of Cerebral Injury
Report:Sinus rhythm 75/min Borderline low voltage Poor R wave progression Diffuse T wave inversion Prolonged QT interval Comment:The tracing is quite suggestive of a cerebral event, but there was none. Cardiac catheter showed segmental akinesia and h
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
Large T Waves on Amiodarone + Haloperidol
Report:Sinus rhythm 60/min Nonspecific T wave changes ?TU waves Prolonged QT interval 0.58â QTc 0.58â Comment:The patient was on amiodarone infusion for previous AF (Fig 67a) and haloperidol for what, after extubation, was to become a delirium, a
Pulmonary Embolism: Discrete S1Q3T3 Pattern
Report:Sinus tachycardia 111/min Borderline trace, probably normal Comment:Much depends what one is looking for. I countersigned the Registrarâs and the computer report of âotherwise normal ECGâ during routine reporting, but the patient arrived to
LVH â Volume Overload Pattern
Report:Sinus rhythm 65/min Left atrial abnormality Left ventricular hypertrophy, volume overload pattern RSRâ in V1-2 Comment:The LAA is best seen in V3-5, along with prominent T waves. With LVH voltage in the chest leads this constitutes evidence f
P congenitale: Tetralogy of Fallot
Report:Sinus rhythm First degree AV block PR 0.24â Right atrial abnormality P congenitale (P axis +60o) Right axis deviation +125o Right bundle branch block Right ventricular hypertrophy Comment:In P congenitale the atrial wave is quite large
LBBB in Hyperkalæmia
Report: Accelerated junctional rhythm 90 - 96/min ? Sinus rhythm with sino-ventricular conduction Left bundle branch block QRS 0.22â Peaked T waves suggestive of hyperkalæmia Comment: The potassium rose to 8.0 mEq/L and probably higher. The rhyth