Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Vagotonia: Advanced Second Degree AV Block
Report: Sinus rhythm Advanced second degree AV block[!xe "Second degree AV block" \t "See AV block, second degree"!] Period of asystole Ventriculophasic sinus arrhythmia Comment: Vagally-mediated bradyarrhythmias may, at times, be fatal. Vast majori
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
Bradycardia-Dependent RBBB
Report: Sinus/atrial rhythm Shifting pacemaker First degree AV block Second degree AV block, Möbitz I Blocked SVEBs, ?reentry of atrial origin Bradycardia-dependent right bundle branch block Comment: This is the same patient as in Case 1. All the
PAT with Block: LBBB RSR' in V1
Report:Atrial tachycardia 216/min with 2:1 block. LBBB. Comment:The only indisputable part of the computer and the Cardiologistâs reports is tachycardia. The tachycardia could not be sinus tachycardia even if there was a 1:1 conduction: the morpholog
Crying Wolff with Surprising Outcome
Report: Supraventricular, possibly junctional, rhythm 54/min Wolff-Parkinson-White conduction, type âBâ Comment: One cannot be completely certain of the provenance of the atrial impulses; they are flat or biphasic in the frontal plane leads. In V1,
Conducted LPHB and Escaping LAHB
Report:Sinus rhythm 82/min Left atrial abnormality (LAA) 2:1 AV block Right bundle branch block Left posterior hemiblock Junctional escape (first two) beats RBBB + LAHB morphology Nonspecific ST/T changes Comment:Most commonly, the escape rhythm h
The LEOPARD Syndrome
Report:Sinus tachycardia 122/min Right axis deviation +150o Right bundle branch block Nonspecific ST/T changes Lead V1 â V3 reversal Comment:There are multiple eponyms for this rare autosomal dominant syndrome but the acronym LEOPARD is the most co
RBBB with Right and Left Axis
Report:Sinus rhythm SVEBs, bigeminal Left axis deviation in sinus beats, probably LAHB Right axis deviation in SVEBs due to LPHB Right bundle branch block throughout Borderline T wave changes Comment:With RBBB the frontal axis is determined by the i
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
Right, Left, then Right Bundle Branch Block
Report:Sinus tachycardia 140/min Second degree AV block First degree AV block in conducted beats PR 0.30â SVEBs, blocked (causing the pauses) Left bundle branch block Primary repolarisation changes c/c infarction/ischæmia Comment:This is an obvi