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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Hyperacute Anterior Infarction
Report:Sinus rhythm 66/min Acute anterior infarction Comment:The term hyperacute refers to increase in T wave height at a very early stage of myocardial infarction. The waves need not be large. As Goldberger put it6, âthe amplitude of hyperacute T wav
Absolute Small Voltage & Its Commonest Cause
Report:Sinus rhythm 77/min Absolute small voltage Anterior infarction, age indeterminate Comment:This patient, too, had history of a remote infarction; like the previous case, he too could have a ventricular aneurysm. He was asymptomatic and there was
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
AIVR in Anterior Infarction
Report:Accelerated idioventricular rhythm 72/min Supraventricular capture beats Ventricular fusion beats (middle of the trace) Acute extensive anterior infarction Comment:AIVR is commoner in inferior than anterior infarcts, but reperfusion tends to ev
Acute Infarction with Pre-existing LBBB
Report:Sinus rhythm 60/min Left atrial abnormality (LAA) Left bundle branch block Acute inferior & anterior infarction Comment:The diagnosis was based on new and marked ST segment elevation in the inferior leads and V3 as well as concordant T inversio
Embolic Anterior Infarction in Endocarditis
Report:Sinus tachycardia 108/min T wave changes c/w infarction/ischæmia Comment:Again, there are no reciprocal changes in the inferior leads. The embolus lodged distal to the first diagonal (D1) and septal (S1) branches of the LAD. This is almost invar
Acute Extensive Anterior Infarction: Junctional Rhythm
Report:Junctional rhythm 47/min Acute extensive anterior infarction Comment:There are some semantic problems here. A single dissociated P wave â very likely sinus â is seen just before the last QRS complex. Should sinus rhythm be reported as well? O
Anterior Infarction and Rate-Dependent LBBB
Report:Sinus rhythm 66/min SVEBs, blocked Rate-dependent left bundle branch block Anterior infarction ?age Comment:The pauses created by the non-conducted SVEBs are long, but still not fully compensatory. The complexes terminating the pauses are norma
Fascicular VT in Anterior Infarction
Report:Ventricular (fascicular) tachycardia 103/min RBBB/LAHB morphology Acute anterior infarction Comment:It is possible that the tachycardia is junctional, with aberrancy, except that lead 1 does not look right for RBBB, with or without LAHB; also, i
Unlikely Early Repolarisation
Report:Sinus rhythm 78/min Anterior infarction/ischæmia Comment:The computer reported the trace as normal, apart from âprobable early repolarisation patternâ. The reciprocal ST segment depression in the inferior leads was ignored. The ECG was repea