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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Inferoposterolateral Infarction
Report:Sinus rhythm 70/min Right axis deviation (RAD) ±180o Inferoposterolateral infarction, age indeterminate Comment:Complete proximal circumflex lesion was stented, with large basal infarction and surprisingly preserved LVEF 50%13. It is not possib
Ischæmic ST Segment Depression
Report:Sinus rhythm 69/min Right axis deviation +95o ST segment depression c/w ischæmia Comment:The patient had unstable angina and her ECG reflects her coronary disease. The ST segments are over 1 mm depressed, horizontal (âplaneâ depression) and
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
Acute Lateral Infarction
Report:Sinus rhythm 95/min Acute lateral infarction Comment:There is an obvious acute (with upright T waves) ST segment elevation in the (high) lateral leads 1 and aVL with reciprocal changes in the inferior leads. Lead 2 shows only slight depression be
Right Axis Deviation in WPW Conduction
Report:Sinus rhythm 88/min Right axis deviation +110o Wolff-Parkinson-White conduction, type âAâ Comment:For ordinary clinical purposes WPW conduction is best divided into types âAâ and âBâ, from Rosenbaum's now remote 1945 classification.
LBBB with Transient Right Axis Deviation: Ischæmic Cardiomyopathy
Report: Sinus rhythm Right axis deviation (RAD) + 140o Left bundle branch block Comment: The unusual combination of LBBB and RAD is a surprisingly specific marker of congestive cardiomyopathy29. This patient had CABG following an inferolateral MI; subs
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
Right Axis Deviation: RVH
Report:Sinus rhythm 92/min Biatrial abnormality (LAA + RAA) Right axis deviation +115o Right bundle branch block Inferior and anterior Q waves ? cause Probable right ventricular hypertrophy Comment:The patient had very large dilated and hypertrophie
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