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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Inferior MI: Reciprocal Changes & Remote Ischæmia
Report:Sinus rhythm 71/min Acute inferior infarction Comment:The reciprocal changes, although minuscule in 1 and very modest in aVL, are spread through all the chest leads. This is now thought to reflect a large infarction rather than separate, remote i
Left Main Coronary Artery Lesion
Report: Sinus rhythm First degree AV block PR 0.22" ST/T changes consistent with acute coronary insufficiency Comment: The ECG gradually normalised over the next five hours (Fig 100a); the CPK levels remained normal. Cardiac catheter demonstrated 95
Acute Posterior Infarction
Report:Sinus rhythm 80/min ST segment depression c/c MI/ischæmia Probable acute posterior infarction Comment:One can never be completely sure. Marked septal ST depression is a feature of uncommonly observed septal ischæmia or, as a reciprocal change,
Marked Post-Thoracotomy ST Elevation
Report:Sinus rhythm 77/min Left ventricular hypertrophy voltage ST segment elevation c/c pericarditis or ischæmia Tall T waves ? ischæmic or hyperkalæmic Comment:What makes the trace suspicious is the combination of ST elevation and tall T waves. T
Coronary Spasm in Septic Shock
Report:Top strip: Sinus tachycardia 117/min Strips 2-5: Sinus rhythm 53/min (2nd strip) â 61/min (bottom) 1o and progressive 2o AV block Junctional escape beats Markes ST segment elevation consistent with acute infarction or ischæmia Comment:In
ST/T Infarction Getting âTransmuralâ
Report:Sinus rhythm 90/min Diffuse ST segment depression c/w infarction/ischæmia Comment:The non-Q infarction (which this was, with ongoing pain and troponins already up) did not stop here: within hours (at 3 am), a new ECG showed a conventional âhig
Rapid Cure of Silent Ischæmia
Report:Sinus rhythm ST segment depression c/w ischæmia Comment:This one was delightfully easy to solve. The strips showing ST depression were all obtained with the patient sitting out in a chair, completely asymptomatic. I sat her up in bed to see the
Non-Coronary Ischæmia
Report:Sinus rhythm 80/min Borderline first degree AV block ST/T changes suggestive of ischæmia Comment:This is a good example of horizontal (âplaneâ) ST segment depression highly suggestive â almost diagnostic â of ischæmia. The associated T
Left Main Coronary Artery Pattern
Report:Sinus rhythm 90/min Probable left ventricular hypertrophy ST/T changes c/w infarction/ischæmia Main left coronary artery lesion pattern Comment:Diffuse ST segment depression â sparing, oddly enough, in this example, aVL â connotes extensiv
Tombstones
Report:Sinus tachycardia 111/min Acute extensive anterior infarction Comment:The ST segment hyperelevtion (âtombstoningâ) bodes ill for the patient. This one died within 24 hours, ventilated for cardiogenic shock and resultant multi-organ failure. A