Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
RVH: Chronic Cor Pulmonale in COAD
Report:Sinus rhythm 93/min Right axis deviation +110o Right atrial abnormality P axis + 80o Right ventricular hypertrophy Comment:The entire trace is, in fact, in favour of RVH: the RAD and the RAA as much as the qR morphology of V1 and the precordi
Katz-Wachtel Phenomenon: TGA
Report:Sinus rhythm 150/min (8 â 30 days: 115 â 190 normal rates) Right atrial abnormality Right ventricular hypertrophy Positive T wave in V1 Probable biventricular hypertrophy Katz-Wachtel phenomenon Comment:The infant had transposition of th
RVH in COAD
Report: Atrial fibrillation, mean ventricular rate 85/min Right axis deviation + 130o qRV1, probable right ventricular hypertrophy Nonspecific ST/T changes Comment: RVH is seldom expressed as dominant R wave in V1 in COAD; the commonest change is RAD
Emphysema: Northwest Axis
Report: Sinus tachycardia 130/min Right atrial abnormality P axis +85o Indeterminate abnormal axis +250o S1S2S3 pattern Poor R wave progression RSRâ in V1-2 Comment: The patient had advanced emphysema, with dilated right ventricle and clinical c
Right Atrial Abnormality
Report: Sinus tachycardia 130/min Right atrial abnormality 5 mm P wave in Lead 2 P wave axis + 90o Vertical heart position Comment: The inferior ST segment depression (using T-P baseline) may be due, at least in part, to prominent Ta waves, inferred
Mime of Mitral Stenosis
Report: Sinus rhythm Left atrial abnormality Possible right atrial abnormality Right axis deviation +95o Probable right ventricular hypertrophy (RVH) RAD, Qrs V1 Nonspecific ST/T changes Comment: The patient had restrictive cardiomyopathy of unkn
Cor Pulmonale: COAD with MAT
Possible Run of MATReport: Sinus tachycardia 118/min Right atrial abnormality SVEBs, one blocked Probable run of multifocal atrial tachycardia (MAT) 170/min Probable LBBB aberrancy Right axis deviation +100o Left ventricular hypertrophy voltage Co
Cor Pulmonale: COAD
Report: Sinus tachycardia Right atrial abnormality Left atrial abnormality Right axis deviation +130o Possible left ventricular hypertrophy Nonspecific ST/T changes Comment: There is an obvious right axis and a P pulmonale with a right axis of its
Axis Illusion in Emphysema
Report:Sinus tachycardia 110/min Right atrial abnormality P axis +85o Left axis deviation QRS â90o Late (or no) transition Comment:An immediate clue that the LAD is not due to an LAHB (its commonest cause, overall) is that S2 > S3, opposite of w
Status Asthmaticus
Report: Sinus rhythm Right atrial abnormality ST/T changes consistent with ischæmia or hypoxia Comment: Tachycardia is conspicuous for its absence and is as sinister as was the absence of audible wheezing. The repolarisation changes reflect profound