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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Sinus Captures with 1o AV Block
Report:Sinus rhythm approx. 86/min 1 Second degree AV block, unspecified 2 AV pacemaker rhythm 60/min 1 No atrial capture 2 Sinus captures with 1o AV block 2 Left anterior hemiblock + IVCD 1 LVH with ST/T changes 1 Comment:The space between the atr
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
Atrial-Triggered Failed Pacemaker
Report:Sinus rhythm 94 - 96/min 1 First degree AV block (PR 0.28") 2 Left atrial abnormality (LAA) 1 Atrial-triggered ventricular pacemaker 2 Failure to pace 3 LVH with ST/T changes (incomplete LBBB) ± ischæmia 1 Comment:The pacing spikes bear const
Atrial Pacemaker Rhythm: Wenckebach Periods
Report:Dowling Dennis Raymond 55 15/4/00 106504Atrial pacemaker rhythm 89/min 2 Second degree AV block, Möbitz 1 5 Left ventricular hypertrophy with ST/T changes 2 Probable old inferior infarction 3 Comment:The spike-to-R interval (equivalent of PR o
Coronary Artery Dissection
Report:Fig 111: Sinus bradycardia 40/min Left atrial abnormality (LAA) â best seen in lead 2 Left ventricular hypertrophy voltage Fig 111a: Sinus bradycardia 40/min SVEB (last beat) Left atrial abnormality (LAA) First degree AV block Acute exte
Infarction and LVH
Report:Sinus rhythm 86/min Left anterior hemiblock LAD -40o LVH with ST/T changes Poor R wave progression ST segment depression suggestive of infarction/ischæmia Comment:Like the previous case, this one has some ST segment elevation in V1 and aVR (
Non-Coronary Ischæmia
Report:Sinus rhythm 80/min Borderline first degree AV block ST/T changes suggestive of ischæmia Comment:This is a good example of horizontal (âplaneâ) ST segment depression highly suggestive â almost diagnostic â of ischæmia. The associated T
Left Main Coronary Artery Pattern
Report:Sinus rhythm 90/min Probable left ventricular hypertrophy ST/T changes c/w infarction/ischæmia Main left coronary artery lesion pattern Comment:Diffuse ST segment depression â sparing, oddly enough, in this example, aVL â connotes extensiv
Churg-Strauss Infarction
Report:Sinus rhythm 75/min SVEBs Left ventricular hypertrophy with ST/T changes ST/T changes also c/w infarction/ischaemia Comment:The patient was admitted with unstable angina but deteriorated over 24 hours into cardiogenic shock and died. The ECG i
Another Isolated U Wave Inversion
Report:Sinus rhythm 95/min Right atrial abnormality (RAA) Probable LVH with ST/T changes Inverted U waves c/w ischæmia Movement artefact V5. Comment:This patient, with chronic emphysema and hypertension, had an episode of chest pain two years previo