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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Acute Inferior Infarction: AIVR
Report:Sinus rhythm Accelerated idioventricular rhythm 88/min Acute inferior infarction Comment:There are only three sinus captures present, just enough to make the diagnosis. The computer diagnosed LBBB with âmarked ST elevation â possibly due to
Bigeminal AIVR: Inferoposterolateral MI
Report:Sinus bradycardia (rate uncertain) Accelerated idioventricular rhythm 77/min Bigeminy ? exit block Nonspecific ST/T changes Comment:The infarction cannot of course be diagnosed in the original tracing and what was left of its evidence after ang
Anterior MI: Bigeminal VEBs with Retrograde Conduction
Report:Sinus rhythm 56 â 64/min Left atrial abnormality (LAA) VEBs, bigeminal Retrograde VA conduction Acute anterior infarction Comment:It would be redundant to report poor R wave progression in the face of obvious anterior infarction (the compute
Anterior Infarction: âTrifascicularâ Block
Report:Sinus rhythm 99/min First degree AV block PR interval 0.28â Right bundle branch block Left anterior hemiblock Axis â85o Extensive acute anterior infarction Comment:The term âtrifascicularâ is a misnomer â irresistible to some â b
Lateral Infarction
Report:Sinus rhythm 73/min Acute (high) lateral infarction Comment:There is (typically) discrete but in this case quite definite ST segment elevation in the lateral leads 1 and aVL. Reciprocal depression is (again, typically) even more prominent in 3 an
Inferior MI, VEBs & Persistent Wenckebach
Report:Sinus tachycardia 104/min VEBs, frequent, multiform Second degree AV block, Möbitz 1 (Wenckebach) Late transition Nonspecific intraventricular conduction delay (IVCD) Acute inferior infarction Anterolateral ST/T changes c/w MI/ischæmia Co
Inferolateral Infarction & LBBB
Report:Sinus rhythm 88/min Left bundle branch block Acute inferolateral infarction Comment:Unlike the previous caseâs IVCD, this one shows typical LBBB, with sharp S descent and slower ascent in V1. Despite this, there is a concordant ST segment elev
Anterior Infarction, LBBB & Its Escape Rhythm
Report:Fig 89: Sinus rhythm 76/min Borderline LAA LVH with ST/T changes Anterior infarction ?age Fig 89a (24 hours later): Sinus rhythm 74/min Alternating complete & incomplete left bundle branch block Primary T wave changes Fig 89b (an hour late
Acute Anterior MI: Frequent R-on-T VEBs
Report:Sinus rhythm 64/min Frequent R-on-T VEBs Extensive acute anterior infarction Comment:This VEB density (a Holter term) would have evoked xylocaine reflex4 until quite recently. Lown Class V ventricular ectopic activity5 even more so. However, in
Tombstones in V2
Report:Sinus rhythm 80/min Acute anterior infarction Comment:The pattern in V2 is as good a picture of tombstones or tombstoning as it gets. It is somewhat unusual to see it in only one lead. Tombstones are most commonly seen between leads V2 and V466.T