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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 (
Horizontal Heart
Report: Sinus rhythm Normal axis (-14o) Horizontal heart position Late transition ECG within normal limits Comment: The electrical heart position is defined by leads aVL and aVF alone; the term is a descriptive one, only useful if there is no abnorma
COAD: P Pulmonale Causing ST Segment Depression
Report: Sinus tachycardia 117/min Right atrial abnormality Small voltage (absolute) Late transition Borderline ST segment changes Comment: The P wave axis is 86o, with 0.4 mV amplitude in lead 2 and the characteristic peaked shape. As often happens
RVH in Emphysema
Report:Sinus rhythm 96/min Right axis deviation +170o Right atrial abnormality Right ventricular hypertrophy Poor R wave progression Comment:The P wave axis is almost +90o and it has the tall peaked look of P pulmonale, with relatively uncommon init
Alternating (2:1) Right Bundle Branch Block
Report: Sinus tachycardia 126/min Left anterior hemiblock Frontal plane axis â60o Alternating right bundle branch block Poor R wave progression Nonspecific ST/T changes Comment: The diagnosis depends, critically, on identical PR interval in all th
Old Anterior MI in VT & VEBs
Report:Ventricular tachycardia 200/min Probable old anteroseptal infarction Comment:The VT has a deep Q wave, QrS morphology and associated ST elevation resembling an infarct pattern. Sometimes the previous infarct is only visible when revealed by VEBs.