Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Embolic Anterior Infarction in Endocarditis
Report:Sinus tachycardia 108/min T wave changes c/w infarction/ischæmia Comment:Again, there are no reciprocal changes in the inferior leads. The embolus lodged distal to the first diagonal (D1) and septal (S1) branches of the LAD. This is almost invar
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
Another Proximal LAD Lesion
Report:Sinus tachycardia 133/min (Hyper)acute anterior infarction Comment:The indicative ST/T changes are in the anteroseptal leads and include lateral leads 1 and aVL. There is also marked reciprocal depression in the inferior leads. These are both sig
Acute Extensive Anterior Infarction: Regaining R Waves
Report:Sinus rhythm 60/min Acute extensive anterior infarction Comment:Pathological Q waves are present in V2-3 after less than two hours of symptoms, possibly with some negative implications for the short-term outlook. Half an hour later, further ST se
Acute Extensive Anterior Infarction: Junctional Rhythm
Report:Junctional rhythm 47/min Acute extensive anterior infarction Comment:There are some semantic problems here. A single dissociated P wave â very likely sinus â is seen just before the last QRS complex. Should sinus rhythm be reported as well? O
Isolated U Wave Inversion
Report: Sinus rhythm 82/min Nonspecific T wave changes T3 > T1, TV1 > TV6, consistent with ischæmia Negative U waves Comment: U waves are common; their isolated (from the T wave) negativity is rare and constitutes a surprisingly specific marker of th
Another Isolated U Wave Inversion
Report:Sinus rhythm 95/min Right atrial abnormality (RAA) Probable LVH with ST/T changes Inverted U waves c/w ischæmia Movement artefact V5. Comment:This patient, with chronic emphysema and hypertension, had an episode of chest pain two years previo
Inferior Infarction: Blocks and Arrhythmias
Report:Sinus tachycardia 122/min Second degree AV block, unspecified Junctional escape beats and rhythm 46/min Non-phasic aberrant conduction Acute inferior infarction Comment:It is said that the presence of 2o AV block in inferior infarction denotes
AV Block in Inferior Infarction
Report: Top: Sinus rhythm VEB Third degree AV block Junctional escape rhythm 42/min Second strip: Sinus tachycardia 104/min Second degree AV block, 2:1 conduction First degree AV block in conducted beats (PR 0.44â) Third strip: Sinus tachycar
Let the Sleeping Dog Lie?
Report:Sinus arrhythmia 45 - 68/min Second degree AV block Two blocked P waves Comment:It is disconcerting to see a spontaneous 3.7" pause, but (i) the patient had a recent inferior MI and (ii) remained asymptomatic during similar episodes while awake.