Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Cerebral Mime of Ischæmia
Report:Sinus rhythm 54/min LVH voltage, probably normal for age ST/T changes suggestive of ischaemia Prolonged QTc 0.47â (QT 0.5â) Comment:An accident may cause both cardiac and cerebral damage, often with marked ECG changes. On the other hand, bo
CVA Mimics Anterior MI
Report:Sinus rhythm 93/min PR interval 0.09â Acute anterior infarction/ischæmia Also consistent with CVA Comment:This is a relatively frequent occurrence in severe brain injury from any cause; cerebral hæmorrhage is the leading cause at the Canber
CVA Simulating Infarction
Report: Sinus rhythm 92/min Probable acute anterior infarction Borderline ST segment elevation in the inferior leads Comment: There are no reciprocal changes and the QT is prolonged, but it could still be an infarct. In the context of proven cerebral h
Myocardial Infarction and Cerebral Hæmorrhage
Report: Sinus tachycardia Left anterior hemiblock Left ventricular hypertrophy Acute anterior infarction Comment: The pattern is indistinguishable from that of acute myocardial infarction. There was, however, no other evidence for it, in life or at au
CVA: Anterolateral ST Segment Elevation
Report:Atrial fibrillation with rapid ventricular response. VEB. Anterolateral ST segment elevation consistent with MI or ischæmia. Left ventricular hypertrophy. Comment:The patient had no clinical evidence of MI. Note the reciprocal - discrete but d
Peaked Waves After Head Injury
Report:Sinus rhythm 80/min Borderline right axis deviation +90o Right atrial abnormality Tall peaked T waves ?cause Prolonged QT interval QTc 0.50â Comment:The T waves are, of course, typical of hyperkalæmia: narrow-based, tall and peaked. There
Cerebral Mimicry of MI
Report: Sinus tachycardia 127/min Right atrial abnormality VEB Acute inferolateral (or, better, inferior + anterior) myocardial infarction Prolonged QT interval Comment: The last item, QT prolongation, is the only clue that this is not an ordinary my
LBBB in Cerebral Hæmorrhage
Report:Sinus rhythm SVEBs Left bundle branch block Primary T wave changes Comment:The patient was on Warfarin for intermittent AF in COCM (EF 30%); the INR was 3.9 at the time of the bleed. Old patients are at very high risk, perhaps due to cerebral a
Bigeminy in Sino-Atrial Exit Block
Report: Sinus rhythm approximately 90/min Left atrial abnormality (LAA) 3:2 Sino-atrial exit block, Möbitz 1 (Wenckebach) Bigeminy Left axis deviation â35o Comment: Bigeminy like this one has to be differentiated from atrial ectopic bigeminy: half
Sinoatrial Block: CVA
Report:Sinus rhythm Sinus pauses - probable Wenckebach exit block Junctional escape beats and rhythm Atrial fusion beats SVEB. Comment:The sinus cycles tend to shorten before the pause, a characteristic of Möbitz 1 (Wenckebach) exit block. There is