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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
LAD Artery Occlusion and Repair
Report:Fig 112: Sinus tachycardia 140/min Extensive acute anterior infarction Movement artefacts Fig 112a: Sinus tachycardia 118/min Extensive acute anterior infarction Comment:The tracings are similar to the previous case, 111, except the recordin
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
Wrong Reason for the Right Report
Report:Sinus tachycardia 128/min Third degree AV block Junctional escape rhythm 38/min Acute inferior and right ventricular infarction (Right-sided V leads as labelled) Atrial infarction Comment:The report followed a previous one, on a preceding ECG
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
Acute Inferior Infarct â L Circumflex Occlusion
Report:Sinus tachycardia 112/min Acute inferolateral infarction Comment:This trace has three major criteria favouring left circumflex artery over RCA as the culprit vessel. 1. The reciprocal changes in aVL but not in 1 denote the left circumflex as the
Normal Infant ECG
Report: Sinus rhythm 144/min Axis +110o RsV1 Normal trace Comment: The heart rate of a normal infant between one and three months is 120 to 180/min; the normal range widens over the next three months to 106 â 186/min88. The rest of the trace would
Cerebral Mimicry of MI
Report: Sinus tachycardia 127/min Right atrial abnormality VEB Acute inferolateral (or, better, inferior + anterior) myocardial infarction Prolonged QT interval Comment: The last item, QT prolongation, is the only clue that this is not an ordinary my
Hyperthyroid Hypercalcæmia on Lithium Therapy
Report:Sinus tachycardia 163/min Borderline right atrial abnormality Borderline short QT interval 0.22â Nonspecific T wave changes Comment:Marked tachycardia with short QT interval gives an illusion of atrial flutter. Indeed, the patient was treated
Adrenaline Bradycardia
Report:Sinus tachycardia 115/min (top) Sinus rhythm 90/min (bottom) VEBs Fusion beats Comment:The rate response is paradoxical, but well documented in normal volunteers. The pressor effect of adrenaline can evoke reflex slowing of the heart rate, over
Sinus Tachycardia in Mitral Stenosis
Report:Sinus tachycardia 114/min Left atrial abnormality Comment:The trace is not really suggestive of mitral stenosis. Apart from the obviously increased PTF in V1, the only clue â a weak one - is small R wave in L1. Yet he was one of the most inter