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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Infarction and LVH
Report:Sinus rhythm 86/min Left anterior hemiblock LAD -40o LVH with ST/T changes Poor R wave progression ST segment depression suggestive of infarction/ischæmia Comment:Like the previous case, this one has some ST segment elevation in V1 and aVR (
Transient TV1 > TV6 in LGL Conduction
Report:Sinus rhythm 84/min Minor non-specific ST/T changes Early repolarisation, anterior leads Lown-Ganong-Levine conduction PR interval 0.12â Comment:The patient was admitted following several episodes of precordial discomfort and dyspnÅa, but n
Holter Ischæmia
Report:Top: Sinus tachycardia 105/min SVEB ST/T changes suggestive of ischæmia Middle: Sinus rhythm 80/min Resolving ST/T changes Bottom: Sinus rhythm 66/min Isoelectric ST segments Comment:This is a good example of spontaneous ischæmia (at 3.
Poor (Manâs Exercise) Test
Report:Sinus rhythm 56 â 66/min VEB SVEBs, blocked Post-ectopic T wave inversion Comment:The Holter strips are a continuous recording. Post-VEB beat (top strip) has inverted T wave â what some call a post-extrasystolic repolarisation change. Sim
Ischæmia and Wellensâ Warning
Report:Atrial rhythm 68/min (first 6 beats) Sinus rhythm 54/min (last 5 beats) T wave changes c/w ischæmia Borderline LVH voltage (R2 15mm) Comment:In V1-3 the T waves, even though within normal limits by themselves, appear unduly prominent compared
Posterior Non-Q Infarction
Report:Sinus rhythm 56/min T wave changes c/w ischaemia Comment:The ECG is almost normal (the computer and some of the staff repeatedly stated it). And yet, the anteroseptal T waves are much taller than those with tall R waves. This is an example of TV1
Unstable Angina
Report:Sinus rhythm 84/min Early transition ST segment depression suggestive of ischæmia Comment:There is enough horizontal (âplaneâ) or slowly rising (e.g., lead 2, V4) ST depression to define a positive exercise test, especially when followed by
Small Ts in 1 and V6
Re-arrange ECGs to true time sequence, re-write report! Report:Sinus rhythm 59/min T wave changes c/w ischæmia Comment:The TV1 > TV646 or T3 > T1 phenomenon is less well known than it should be. It is not normal, as most computer programmes would have
Ischæmic ST Segment Depression
Report:Sinus rhythm 69/min Right axis deviation +95o ST segment depression c/w ischæmia Comment:The patient had unstable angina and her ECG reflects her coronary disease. The ST segments are over 1 mm depressed, horizontal (âplaneâ depression) and
Sudden Death Syndrome: Main Left Pattern
Report:Atrial fibrillation with mean response 85/min Indeterminate axis Diffuse ST/T changes c/w MI/ischæmia Comment:The patient had recurrent VF and fatal cardiogenic shock in Casualty. The pattern of marked ST segment depression with elevation in