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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
DDD Pacemaker in Acute Infarction with 2:1 AVB
Report:Sinus tachycardia 124/min 2:1 AV block A-sensing ventricular pacemaker rhythm 62/min Fusion beats Acute or recent inferolateral infarction Comment:My first thought was something exotic: accrochage between the temporary pacemaker and the sinus
R-on-T Pacing
Report:Sinus rhythm 82/min 1 Ventricular pacemaker rhythm 58/min 1 Intermittent failure to sense 3 R-on-T pacing 3 Acute or recent inferior infarction 2 Comment:The first paced beat is paced just after the apex (or nadir, depending on the lead) of t
Inferior MI: Reciprocal Changes & Remote Ischæmia
Report:Sinus rhythm 71/min Acute inferior infarction Comment:The reciprocal changes, although minuscule in 1 and very modest in aVL, are spread through all the chest leads. This is now thought to reflect a large infarction rather than separate, remote i
Acute Anteroseptal Infarction
Report:Sinus rhythm 72/min Acute anteroseptal infarction Leads V1 and V3 transposed Comment:The biphasic P wave in the displaced V1 indicates that the lead is in correct position (on the patient). There are new Q waves in V1 and V2, with ST segment ele
Anterior + Inferior MI
Report: Sinus rhythm Left atrial abnormality (LAA) Borderline first degree AV block Left axis deviation (LAD) â 60o Left anterior hemiblock (LAHB) Incomplete right bundle branch block (RBBB) Extensive acute anterior myocardial infarction Acute in
LAD Artery Occlusion and Repair
Report:Fig 112: Sinus tachycardia 140/min Extensive acute anterior infarction Movement artefacts Fig 112a: Sinus tachycardia 118/min Extensive acute anterior infarction Comment:The tracings are similar to the previous case, 111, except the recordin
Right Ventricular Infarction
Report:Accelerated junctional rhythm 95/min SVEBs (two couplets) Absolute small voltage Acute inferior infarction Right ventricular infarction Comment:The repolarisation changes are massive for the size of the remaining QRS complexes and the trace lo
Right Ventricular Infarction: Right Chest Leads
Report:Sinus rhythm 96/min Möbitz 1 (Wenckebach) AV block 3:2 and 2:1 conduction Acute inferior infarction Right ventricular infarction Comment:V1 and V2 are still there, but reversed, with the right-sided chest lead hook-up. V3R-6R have additional
Right Ventricular Infarction or Prinzmetal Angina?
Report:Sinus rhythm 78/min SVEBs, one aberrant, two blocked Wenckebach phenomenon Acute inferior infarction Right ventricular infarction Left ventricular hypertrophy with ST/T changes Comment:The diagnosis of Prinzmetal angina was suggested when ser
Inferolateral Infarction or Prinzmetal Angina?
Report:Sinus tachycardia 112/min Acute inferolateral infarction Comment:Again, like in the previous example, one would have to report infarction. This time however it was documented spasm in a cocaine addict. The artery was probably left circumflex, giv