Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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
Paced Rhythm: Primary T Wave Changes
Report:Sequential pacemaker rhythm 1 SVEBs, with atrial-sensed pacing 2 Ventricular fusion 3 Primary T wave inversion in multiple leads 4 Comment:The pattern is that of global T wave inversion, usually not an ischæmic event. The T wave changes in this
Atrial Sensing and Pacing
Report:Sinus rhythm 75/min 1 VEB 1 Atrial-sensing ventricular pacemaker 3 Atrial sensing and pacing ventricular pacemaker (last beat) 4 Left atrial abnormality (LAA) 1 Comment:This is a DDD pacemaker, responding to both the atrial activity and the la
Left Main Coronary Artery Lesion
Report: Sinus rhythm First degree AV block PR 0.22" ST/T changes consistent with acute coronary insufficiency Comment: The ECG gradually normalised over the next five hours (Fig 100a); the CPK levels remained normal. Cardiac catheter demonstrated 95
Marked Post-Thoracotomy ST Elevation
Report:Sinus rhythm 77/min Left ventricular hypertrophy voltage ST segment elevation c/c pericarditis or ischæmia Tall T waves ? ischæmic or hyperkalæmic Comment:What makes the trace suspicious is the combination of ST elevation and tall T waves. T
Respiratory T Wave Inversion(test)
Report: Sinus rhythm Respiratory T wave inversion Comment: Like in Case 117, the only danger to the patient is that her ECG strips may be taken seriously. It is more of a problem in 12-lead tracings, where only a few beats may be recorded in the right pre
Transient TV1 > TV6 in LGL Conduction
Report:Sinus rhythm 84/min Minor non-specific ST/T changes Early repolarisation, anterior leads Lown-Ganong-Levine conduction PR interval 0.12â Comment:The patient was admitted following several episodes of precordial discomfort and dyspnÅa, but n
Very Radical Prostatectomy
Report:Sinus tachycardia 134/min ST/T changes c/w infarction/ischæmia Comment:Urology disasters were commonplace when I was young. With better perioperative care and more assertive anæsthetic departments they are no longer a regular feature of hospita
Reperfusion: Rapid Development of Q Waves
Report:Sinus rhythm 63/min ST/T changes c/w infarction/ischæmia Comment:This is somewhat atypical tracing in that the prominent T waves are narrow-based and pointed, the ST elevation is modest and horizontal and there are no reciprocal changes in the i
Non-Q Myocardial Infarction
Report:Sinus rhythm 80/min Non-specific T wave changes Comment:By convention, the report could have said ânon-specific ST/T changesâ or ânon-specific repolarisation changesâ; it matters little. Such changes are almost invariably non-specific.Thi