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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Coronary Artery Dissection
Report:Fig 111: Sinus bradycardia 40/min Left atrial abnormality (LAA) â best seen in lead 2 Left ventricular hypertrophy voltage Fig 111a: Sinus bradycardia 40/min SVEB (last beat) Left atrial abnormality (LAA) First degree AV block Acute exte
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
Broad-Complex Tachycardia?
Report:Atrial fibrillation with rapid response 186/min Acute inferolateral infarction Comment:The computer and, regrettably, some of the staff pronounced this VT despite some (and by inference, all) complexes being quite thin and the obvious ST segment
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
Massive ST Segment Elevation in Coronary Spasm
Report:Sinus rhythm 93/min Extensive acute anterior infarction Comment:The elevation settled rapidly and subsequent angiography documented normal coronary arteries. The most likely explanation is spasm, which may have caused near-drowning in the first p
Tombstones in V2
Report:Sinus rhythm 80/min Acute anterior infarction Comment:The pattern in V2 is as good a picture of tombstones or tombstoning as it gets. It is somewhat unusual to see it in only one lead. Tombstones are most commonly seen between leads V2 and V466.T
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
Shocking Tachycardia !
Report:Sinus tachycardia 144/min Right bundle branch block Left anterior hemiblock (axis â70o) Acute anterior infarction. Comment:The Casualty staff claimed having seen fusion beats to support their line of therapy. None could be documented, in retr