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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Acute Inferior Infarct â L Circumflex Occlusion
Report:Sinus tachycardia 112/min Acute inferolateral infarction Comment:This trace has three major criteria favouring left circumflex artery over RCA as the culprit vessel. 1. The reciprocal changes in aVL but not in 1 denote the left circumflex as the
Idiopathic Hypothermia
Report: Sinus bradycardia 46/min Osborn waves (J waves, hypothermic humps) Prolonged QT interval 0.65â QTc 0.57â Tracing suggests hypothermia. Comment: The temperature was 29oC. The only thing missing is evidence of shivering, seen in approximate
Atrial Fibrillation in Hypothermia
Report: Atrial fibrillation with average ventricular response 97/min J (Osborn) waves suggest hypothermia Prolonged QT interval Comment: The QT interval is only mildly prolonged for 30oC; the prolongation is most obvious in short cycles, where QT shoul
Hypothermia Without Bradycardia
Report: Sinus rhythm 76/min Left axis deviation â 35o Intraventricular conduction delay (IVCD) QRS 0.14â) J (Osborn) waves (hypothermic humps) Nonspecific ST/T changes Prolonged QT interval QTc 0.50â Comment: The core temperature was 31oC. T
Hypothermia: Brain Death
Report: Sinus rhythm 57/min Early transition J waves consistent with hypothermia Prolonged QT interval 0.55â QTc 0.54â Borderline ST segment elevation Comment: The rate is relatively fast and there is no evidence of tremor: the patient was brain
Hypothermia: Atrial Fibrillation
Report:Atrial fibrillation with ventricular response 70 â 96/min Hypothermic humps (J waves, Osborn waves) and prolonged QTc suggestive of hypothermia[! XE "J wave" \t "See Hypothermia" !][! XE "Osborn wave" \t "See Hypothermia" !] Nonspecific T wave
Cooling Cardiac Arrest
Report:Sinus rhythm 99/min Intraventricular conduction defect c/c hypothermia Nonspecific ST/T changes Prolonged QT interval 0.40â QTc 0.84â Movement artefact V3 Comment:The hypothermic humps are rather inconspicuous, but there once one looks fo
Snow-Boarderâs Snow Hypothermia
Report:Sinus bradycardia 37/min Intraventricular conduction defect c/c hypothermia QRS 0.20â Prolonged QT interval 0.73â QTc 0.58â Comment:The unfortunate youth was stripped in the snow fields to cool him, but his skull and brain were smashed b