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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Sinus Rhythm Faster Than Itself
Report: Nonparoxysmal junctional tachycardia (NPJT) 98-100/min Sinus rhythm 94-96/min Left atrial abnormality Sinus capture beats AV dissociation with interference Left ventricular hypertrophy with ST/T changes (incomplete LBBB) Comment: Paradoxical
VEBs: Concealed Retrograde Conduction
Report: Sinus rhythm Left atrial abnormality VEBs, uniform; couplets[!xe "VEBs:concealed conduction:couplets" \b \i!][!xe "VEBs:couplets" \b \i!] Concealed retrograde conduction Comment: Despite a slight sinus arrhythmia it is possible to map out un
SVEBs in Bigeminy or 2:1 AV Block?
Report: Sinus rhythm 72/min Second degree AV block, 2:1 Ventriculophasic sinus arrhythmia Left bundle branch block Comment: The ventriculophasic effect is so marked that one cannot be completely certain that the atrial complexes at the end of T wave
Möbitz 2 AV Block
Report: Sinus rhythm Advanced second degree AV block, Möbitz 2 Ventricular pacemaker Intermittent failure to xsense Intraventricular conduction defect, unspecified Comment: The pacemaker was stopped after the first beat in the upper strip, turned on
BBBB[!xe "Bilateral bundle branch block (BBBB):LBBB + RBBB" \b \i!]
Report: Sinus rhythm Interpolated junctional (main-stem) extrasystoles[!xe "VEBs:main-stem (bundle of His) extrasystoles" \b \i!] Right bundle branch block[!xe "Right bundle branch block:LBBB" \b \i!] Left bundle branch block[!xe "Left bundle branch bl
Respiratory & Ventriculophasic Sinus Arrhythmia
Report: Sinus rhythm Respiratory sinus arrhythmia Ventriculophasic sinus arrhythmia Second degree AV block, Möbitz 1 Period of 2:1 conduction + one 5:4 cycle LVH with ST/T changes ± digoxin effect Comment: The ventriculophasic effect â P-P inter
Notched P Wave
Report: Sinus rhythm Left atrial abnormality (LAA) Widely notched P wave Sino-atrial exit block Probable atrial infarction Comment: The wide P wave (0.18â) is produced by an atrial conduction defect, usually involving the interatrial tract (Bachm
Rigor Mortis!
Report: Asystole. Comment: This is one of several dead patientsâ ECGs I encountered during my three years in the United States. Presumably itâs their passion for âdocumentationâ that leads (some) Americans to take ECGs on (some) cadavers, maybe t
Idioventricular Rhythm in Complete AV Block
Report: Sinus arrhythmia & bradycardia Junctional rhythm 48/min, also blocked Third degree AV block Idioventricular escape rhythm 10 â 30/min Comment: The (blocked) sinus rhythm is slow and irregular. Eventually it is replaced by somewhat more const
Parallel Slopes
Report: Sinus tachycardia 104/min Intermittent second degree 2:1 AV block, possibly Möbitz 2 Intraventricular conduction defect, unspecified (? lead 2 strip) Comment: The tachycardia makes it very difficult to observe any increments in the PR interval