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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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 Inferior Infarction: Anterior Reciprocal Changes
Report:Sinus rhythm 82/min First degree AV block PR interval 0.28â Acute inferior infarction Comment:The tracing is remarkable in that both lateral all the precordial leads show reciprocal ST segment depression, more than the previous example in Fig
Inferior Infarction and Left Anterior Hemiblock
Report:Sinus rhythm 78/min Left axis deviation â 72o Left anterior hemiblock Old inferior infarction Clockwise rotation (late transition) Comment:The LAHB is seen as inferior QS waves > 5 mm in depth, lack of secondary R waves in the inferior leads
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
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
Acute Inferolateral Infarction
Report:Accelerated junctional rhythm 93/min Acute inferolateral infarction Comment:There is no obvious atrial activity, dissociated or otherwise. The patient had just arrived to CCU from Casualty and the r-tPA had just been given. The rhythm was interpr
S1Q3T3 Pattern
Report:Sinus rhythm 70/min S1Q3T3 pattern Comment:The pattern is the classical McGinn-White one of large pulmonary embolism or acute cor pulmonale of any ætiology. Even lead 3 ST segment elevation seen in this trace occurred in a pulmonary embolism ser
Right Ventricular Infarction: Inferior MI with RBBB
Report:Sinus rhythm 65/min Third degree AV block Junctional escape rhythm 40/min Right bundle branch block Left ventricular hypertrophy voltage R2 > 15 mm Acute inferior infarction Right ventricular infarction Comment:It is unusual for inferior in
Wenckebach AV Block in Acute Inferior Infarction
Report:Sinus rhythm 90/min Möbitz 1 (Wenckebach) second degree AV block Intraventricular conduction defect (IVCD) QRS 0.12â Acute inferior infarction Comment:The most striking feature are the marked precordial reciprocal changes, indicating extens