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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Unfinished Wenckebach
Report:Sinus rhythm 76/min Wenckebach phenomenon Atrial trigeminy, possible reentry beats of sinus origin, blocked Frequent VEBs, uniform Positive concordant precordial pattern Left atrial abnormality (LAA) Left anterior hemiblock (frontal axis â6
Heart Transplant
Report: Sinus rhythm 92/min Another sinus rhythm, 66/min Atrial âparasystoleâ Small voltage Comment: This was, of course, a âtrick questionâ - except that the answer should suggest itself without even looking at the trace. Not many types of
Complete AV Block in Shock
Report:Atrial flutter 375/min Complete (3rd degree) AV block Junctional rhythm 65/min Right axis deviation +90o ?LPHB Right bundle branch block Acute inferior and anteroseptal infarction Leads V3-6 probably right-sided: right ventricular infarction
Möbitz I & II Combined: Arrhythmia Simulator
Report:Sinus rhythm. Möbitz 1 [Wenckebach] second degree AV block, with 3:2 and 4:3 periods [top strip]. Möbitz 2 second degree AV block, with 3:2 and 4:3 periods. Complete RBBB coincident with Möbitz II block. Complete AV block [bottom strip]. Co
Iatrogenic Ventricular Standstill
Report: Sinus rhythm 100/min Ventricular standstill (asystole) Comment: Hereby hangs a tale: The ECG technician ran to my (reporting) room in New York pale and trembling, clutching this trace in obvious fear. A senior Cardiologist saw her taking the ro
Isoprenaline Tachycardia
Report: Sinus tachycardia 108/min 2:1 AV block (top) Sinus tachycardia 150/min 2:1 & 3:2 Wenckebach AV block (middle) Sinus tachycardia 165/min (bottom) First degree AV block 1:1 conduction Comment: Isoprenaline helped the bradycardia, but at a pri
Retrograde First Degree Ventriculoatrial Block
Report:Junctional rhythm 37/min Retrograde 1o ventriculoatrial (VA) block VA interval 0.28â Right bundle branch block QRS 0.14â Probable old inferoposterolateral infarction Nonspecific ST/T changes Comment:There is a 1:1 retrograde conduction;
Pacemaker & Native Escape-Capture Bigeminy
Report:Sinus bradycardia 37/min Junctional & pacemaker escape beats Escape-capture bigeminy Pseudofusion beats Fusion beat Ventricular conduction defect, unspecified Comment:The escape-capture phenomenon depends in this case on sinus bradycardia. T
AIVR & Quadrigeminal VEBs
Report: Accelerated idioventricular rhythm 90/min (AIVR) Retrograde VA conduction Wenckebach phenomenon VEBs in quadrigeminy Fully compensatory pauses (in the AIVR) Comment: The first impression is that of dissociated sinus rhythm due to variable P-Q
Escape-Capture Bigeminy in AF
Report: Atrial fibrillation High-grade or complete AV block Junctional rhythm 39/min Pacemaker (escape) rhythm Escape-capture bigeminy Left anterior hemiblock (LAHB) Right bundle branch block Anteroseptal infarction, age uncertain ST/T changes con