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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Acute Inferior Infarction
Report: Sinus rhythm 60/min PR interval 0.22â Acute inferior infarction Comment: This is a very early stage, with inferior T waves still large and upright. The ST segment is markedly displaced (6 mm elevation in Lead 3) in both the indicative and the
Junctional Rhythm: Acute Anterior Infarction
Report: Junctional rhythm 60/min Right bundle branch block Borderline left axis deviation â 30o Extensive acute anterior infarction Comment: Atrial activity is most apparent in V1, where a spiky positive P wave precedes the QRS by 0.08â. Patients
Massive âReciprocalâ Changes
Report: Sinus rhythm PR interval 0.20â Acute lateral infarction Widespread reciprocal ST segment depression Comment: It never, of course, quite certain how much of the ST depression is indeed reciprocal to the puny elevation in aVL and how much is i
Hyperacute Anterior Infarction
Report:Sinus rhythm 70 â 74/min (Hyper)acute anterior infarction Comment:The term hyperacute is frowned at by some, but it does have reasonable economy of expression and definitional specificity in referring to early infarction predominantly manifest
Non-Q Infarction
Report:Sinus rhythm ST/T changes consistent with infarction/ischæmia Poor R wave progression Comment:This is the same patient whose stage of illusion is shown on the preceding page. Now, 24 hours later, the T waves have âflippedâ and the cardiac
Acute Inferior Infarct â L Circumflex Occlusion
Report:Sinus tachycardia 112/min Acute inferolateral infarction Comment:This trace has three major criteria favouring left circumflex artery over RCA as the culprit vessel. 1. The reciprocal changes in aVL but not in 1 denote the left circumflex as the
CVA Mimics Anterior MI
Report:Sinus rhythm 93/min PR interval 0.09â Acute anterior infarction/ischæmia Also consistent with CVA Comment:This is a relatively frequent occurrence in severe brain injury from any cause; cerebral hæmorrhage is the leading cause at the Canber
Acute Cor Pulmonale
Report: Sinus tachycardia 100/min VEB S1Q3T3 (McGinn-White) pattern QRV1 Consistent with acute cor pulmonale Comment: This is a classical picture of acute pulmonary embolism, but things are not always what they seem! The patient had advanced chronic
CVA Simulating Infarction
Report: Sinus rhythm 92/min Probable acute anterior infarction Borderline ST segment elevation in the inferior leads Comment: There are no reciprocal changes and the QT is prolonged, but it could still be an infarct. In the context of proven cerebral h
Amyloid Pseudoinfarction
Report:Sinus rhythm 85/min VEB Small voltage in frontal leads Old inferior and extensive anterior infarctions Comment:The extensive infarction is, of course, an ECG diagnosis. This case demonstrates the need for differential diagnosis even (or especia