Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Pacemaker Completing the RBBB
Report:Sinus rhythm 70/min 1 Atrial pacemaker rhythm 55/min 2 Failure to sense 3 Capture beats 2 Right axis deviation +95o 1 Right bundle branch block 1 Comment:The atrial pacemaker discharges with complete regularity at 55/min, obviously heedless o
RVH: Chronic Cor Pulmonale in COAD
Report:Sinus rhythm 93/min Right axis deviation +110o Right atrial abnormality P axis + 80o Right ventricular hypertrophy Comment:The entire trace is, in fact, in favour of RVH: the RAD and the RAA as much as the qR morphology of V1 and the precordi
IVCD - Tricyclic Overdose
Report:Sinus tachycardia 118/min Right axis deviation +110o Intraventricular conduction delay Mildly prolonged QTc (QT 0.33â, QTc 0.46â) Comment:This is a fairly typical trace of a tricyclic overdose. The IVCD pattern suggests RBBB, but the QRS pr
Acute Cor Pulmonale
Report: Supraventricular tachycardia, probably sinus, 160/min Right axis deviation +95o Small voltage Right bundle branch block Borderline T wave changes Comment: The rhythm strip from a later trace is superimposed over the original one to show the p
Normal Infant ECG
Report: Sinus rhythm 144/min Axis +110o RsV1 Normal trace Comment: The heart rate of a normal infant between one and three months is 120 to 180/min; the normal range widens over the next three months to 106 â 186/min88. The rest of the trace would
RVH in COAD
Report: Atrial fibrillation, mean ventricular rate 85/min Right axis deviation + 130o qRV1, probable right ventricular hypertrophy Nonspecific ST/T changes Comment: RVH is seldom expressed as dominant R wave in V1 in COAD; the commonest change is RAD
Shifting Atrial Pacemaker
Report: Sinus rhythm SVEB Shifting atrial pacemaker Right atrial abnormality Right axis deviation + 130o Left ventricular hypertrophy voltage Possible biventricular hypertrophy Nonspecific T wave changes Comment: Obviously, the shifting pacemaker
Mime of Mitral Stenosis
Report: Sinus rhythm Left atrial abnormality Possible right atrial abnormality Right axis deviation +95o Probable right ventricular hypertrophy (RVH) RAD, Qrs V1 Nonspecific ST/T changes Comment: The patient had restrictive cardiomyopathy of unkn
Pulmonic Stenosis
Report: Sinus rhythm Right axis deviation +140o Right bundle branch block Probable right ventricular hypertrophy Comment: The congenital PS was repaired 21 years previously; a late sequel was a right ventricular aneurysm, scheduled for elective repair
Pulmonary Embolism: Global T Inversion
Report: Atrial fibrillation with ventricular response 67/min Right axis deviation +90o S1Q3T3 (McGinn-White) pattern consistent with pulmonary embolism Diffuse T wave inversion Comment: The T waves make the trace unusual; embolism tends to produce sha