Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Old and New Anterolateral MI with RBBB
Report:Sinus rhythm 70/min Right axis deviation (RAD) +100o Right bundle branch block Acute anterolateral + inferior infarction Comment:Three years previously, the patient was in CCU with known old anterolateral MI and chronic RBBB (Fig 79a). He was t
Lateral Infarction
Report:Sinus rhythm 73/min Acute (high) lateral infarction Comment:There is (typically) discrete but in this case quite definite ST segment elevation in the lateral leads 1 and aVL. Reciprocal depression is (again, typically) even more prominent in 3 an
Massive âReciprocalâ Changes
Report: Sinus rhythm PR interval 0.20â Acute lateral infarction Widespread reciprocal ST segment depression Comment: It never, of course, quite certain how much of the ST depression is indeed reciprocal to the puny elevation in aVL and how much is i
Right Axis Deviation: Lateral Infarction
Report:Sinus tachycardia 110/min Right axis deviation +150o Postero-antero-lateral infarction, probably recent Comment:The Q waves in the (high) lateral leads 1 and aVL are responsible for the RAD. They are called âlateralâ by convention and do not
RBBB with Amputated Primary R Wave
Report:Sinus rhythm 95/min Right axis deviation Right bundle branch block Recent anterior infarct Comment:The QR complex in V1 is still RBBB since the delay is all in the RV territory. Before the infarction it was an rSrâ of normal duration (not sho
Alternating Retrograde Conduction in Accelerated Junctional Rhythm
Report:Accelerated junctional rhythm 92/min 2:1 retrograde block Right axis deviation Lateral infarction, acute or recent Borderline small voltage in frontal leads Electrical alternans V1 Comment:One would be tempted to say that this trace is an exa
Alternating Retrograde Conduction in Accelerated Junctional Rhythm
Report:Accelerated junctional rhythm 92/min 2:1 retrograde block Right axis deviation Lateral infarction, acute or recent Borderline small voltage in frontal leads Electrical alternans V1 Comment:One would be tempted to say that this trace is an exa