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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
No Pacing and 2:1 Failure to Sense
Report:Sinus rhythm 55/min 1 Demand pacemaker: failure to pace 2 2:1 failure to sense 5 LVH voltage (SV2 25mm) 0.5 Left atrial abnormality (LAA) 0.5 Old inferior infarct 0.5 Possible old anterior infarct (loss of R height from V2 to V3) 0.5 Commen
Atrial Pacemaker: First Degree AV Block
Report:Atrial pacemaker rhythm 90/min 4 AV interval 0.40 sec 2 Borderline intraventricular conduction delay (QRS 0.12 sec) 1 Inferior infarction, probably old 2 Nonspecific ST/T changes 1 Comment:The pacemaker is probably in the AAI mode; there is no
Masquerading Bundle Branch Block
Report:Atrial fibrillation with ventricular response 80-120/min 1 Fixed-rate ventricular pacemaker rhythm 50/min 2 Fusion beat (third paced complex) 1 R-on-T pacing 1 Right bundle branch block 1 Left anterior hemiblock 1 Standard masquerading bundl
Short but Thick R Wave in V1: Posterior Infarction
Report:Sinus rhythm 60/min PR interval 0.20â Old inferoposterior infarction Comment:Primary R wave in V1 ⥠0.04â is as much sign of posterior infarction as R > S configuration. Dominant R in V2-3 â the early transition â of course supports th
Anterior Infarction From the First and Last Smoke
Report:Sinus rhythm 55/min Old anteroseptal infarction Comment:This is a rather unremarkable outpatient tracing, showing QS complexes in V1-2, very small R in V3 and abnormal T waves in 1 and aVL. There is no âseptalâ q wave in a small V6 complex â
Old Posterior and New Inferior Infarct
Report:Sinus rhythm 57/min Left axis deviation Posterior infarction, old Recent or acute inferior infarction Comment:Strictly speaking, the report should have said: inferoposterior MI, ?age. The patient had a known posterior infarction and left anter
Old Anterior and Acute Inferior Infarction
Report:Sinus rhythm 93/min VEB (fusion beat in V1) Left axis deviation -60o Left anterior hemiblock + intraventricular conduction defect Acute inferior infarction Right ventricular infarction Old anterolateral infarction Comment:The patient had ant
V1 Inversion: Doubly True Posterior Infarct
Report: Sinus rhythm Old inferolateral infarction Early transition Probable posterior infarction Lead V1 mounted upside-down Comment: There are pathological Q waves in the inferior leads and V6, evidence of inferolateral infarction. In this context,
Short QTc in Diltiezam Overdose
Report:Junctional rhythm 56/min Short QT interval 0.36â QTc 0.35â Lead V2 missing Possible old inferior infarction. Comment:The cause of QT interval shortening is iatrogenic32 hypercalcæmia induced by calcium infusion for diltiezam overdose hypo
LVH Voltage Despite Old Infarctions
Report:Sinus rhythm 92/min PR interval 0.20â LVH voltage (RL1 >20 mm, etc) Old anterior infarction Old inferior infarction Comment:Although the commonest cause of small voltage are large or multiple infarctions, the latter may coexist with large vo