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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Pacemaker Confusion in Pseudofusion: Transposition of Great Vessels
Report: Sinus tachycardia 110/min 1 Left atrial abnormality (LAA) 1 Indeterminate abnormal axis ±194o 2 Right ventricular hypertrophy 3 Pacemaker sensing spikes (pseudofusion beats) 3 Comment: The spikes occur after the onset of the QRS complex, pr
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
Katz-Wachtel Phenomenon: TGA
Report:Sinus rhythm 150/min (8 â 30 days: 115 â 190 normal rates) Right atrial abnormality Right ventricular hypertrophy Positive T wave in V1 Probable biventricular hypertrophy Katz-Wachtel phenomenon Comment:The infant had transposition of th
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
Emphysema: Northwest Axis
Report: Sinus tachycardia 130/min Right atrial abnormality P axis +85o Indeterminate abnormal axis +250o S1S2S3 pattern Poor R wave progression RSRâ in V1-2 Comment: The patient had advanced emphysema, with dilated right ventricle and clinical c
P Congenitale
Report: Sinus rhythm First degree AV block PR 0.22â Right atrial abnormality P height 5 mm in lead 2 P wave height > 1.5 mm in V1 P congenitale P1 > P3 & P > 2.5 mm in a limb lead Right axis deviation +230o Probable right ventricular hypertroph
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
Right Ventricular Hypertrophy: Scleroderma
Report: Sinus rhythm Probable RAA Right axis deviation + 130o qRV1 Right ventricular hypertrophy Comment: The qR morphology of V1 is, by itself, evidence for right atrial enlargement as well as RVH; the prominent monophasic P in V2 supports it and in
RVH
Report:Sinus rhythm 70/min Right axis deviation + 130o qRV1 â right ventricular hypertrophy Comment:Most ECGs looking like this would suggest primary pulmonary hypertension, especially in a young woman. The heart has a limited repertoire: this exampl
Cor Pulmonale: RVH with RBBB
Pre-Transplant Fibrosing AlveolitisReport:Sinus rhythm. Borderline first degree AV block (PR 0.20"). Right atrial abnormality ? biatrial enlargement. Right axis deviation Right bundle branch block. Right ventricular hypertrophy Comment:The tendency