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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Tricuspid Atresia
Report: Atrial pacemaker rhythm 111/min (dual chamber pacemaker) 4 Left axis deviation (LAD) –60o 3 LVH with ST/T changes 3 Comment: A cyanosed child with LAD most likely has tricuspid atresia; in one large series LAD was present in 87% of those wit
Complete AV Dissociation
Report: Pacemaker rhythm 80/min 3 Sinus rhythm, non-conducted, 85/min 3 Complete AV dissociation 3 Left atrial abnormality (LAA) 1 Comment: The paced complexes have the typical LBBB/LAD appearance, indicating pacing from the apex of the right ventricl
Primary T Wave Changes
Report:Ventricular pacemaker rhythm 60/min 3 1:1 retrograde conduction 2 Primary T wave changes V1-3 5 Comment:T waves concordant with the QRS complex are no more expected in paced beats than in LBBB: their orientation is due to a myocardial factor rat
Termination of SVT: Pacemaker Escape
Report:Supraventricular tachycardia 165/min 1 Electrical alternans 2 Termination of paroxysm 0 Atrial escape beat (fusion) 2 Pacemaker escape beat 1 Sinus beat (fusion) 2 VEB (last complex) 1 Nonspecific ST/T changes, possible LVH (R2 = 15 mm) 1
Inferior Infarction and Left Anterior Hemiblock
Report:Sinus rhythm 78/min Left axis deviation â 72o Left anterior hemiblock Old inferior infarction Clockwise rotation (late transition) Comment:The LAHB is seen as inferior QS waves > 5 mm in depth, lack of secondary R waves in the inferior leads
Acute Inferolateral Infarction
Report:Accelerated junctional rhythm 93/min Acute inferolateral infarction Comment:There is no obvious atrial activity, dissociated or otherwise. The patient had just arrived to CCU from Casualty and the r-tPA had just been given. The rhythm was interpr
Acute Anteroseptal and Old Inferior Infarction
Report:Sinus rhythm 70/min Left axis deviation â 70o Old inferior infarction & LAHB Acute anteroseptal infarction Comment:The evidence for old inferior MI (known to have occurred 7 years previously) is minute Q wave in the last complex of leads 2 a
Old Posterior and New Inferior Infarct
Report:Sinus rhythm 57/min Left axis deviation Posterior infarction, old Recent or acute inferior infarction Comment:Strictly speaking, the report should have said: inferoposterior MI, ?age. The patient had a known posterior infarction and left anter
Old Anterior and Acute Inferior Infarction
Report:Sinus rhythm 93/min VEB (fusion beat in V1) Left axis deviation -60o Left anterior hemiblock + intraventricular conduction defect Acute inferior infarction Right ventricular infarction Old anterolateral infarction Comment:The patient had ant
Left Axis Deviation in AV Canal Defect
Report:Sinus rhythm 88/min Left axis deviation â60o Incomplete right bundle branch block Comment:Although morphologically indistinguishable from LAHB, the LAD in AV canal defects has different pathology. One should always suspect ostium primum ASD or