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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Retrograde Wenckebach and Reentry
Report:Pacemaker rhythm 92/min 1 Retrograde Wenckebach conduction 4 Wenckebach sequences terminated by reentry (echo) beats of pacemaker origin 4 Non-specific T wave changes 1 Comment:The pacemaker is in its rate-responding mode at 92/min, with Wenck
End-of-Life Pacemaker Function
Report:Sinus rhythm 75 – 77/min 1 Third degree AV block 2 Pacemaker rhythm 31/min 2 Probable battery depletion 5 Comment:Pacemaker interrogation revealed “end-of-life” battery function, set to bipolar VVI mode at 63/min, but obviously firing at half t
T & U Wave Reciprocity
Report: Atrial fibrillation VEBs, multiform Prominent U waves[!xe "U wave:cycle length U - T reciprocity" \b \i!] ? Hypokalæmia Comment: After long cycles, the U grows bigger and the T wave shrinks. U wave regularly exceeds the height of the T wave a
Post-LBBB T Wave Inversion
Report: Sinus rhythm Intermittent LBBB Widespread symmetrical T wave inversion Prolonged QT interval 0.60â Comment: This patient, with recurrent TIAs, could have post-syncopal T wave inversion. There was, however, no history of any âeventâ - cer
Extensive Acute Anterior Infarction
Report:Sinus rhythm 97 - 100/min VEBs, bigeminal Left axis deviation Extensive (hyper)acute anterior infarction Comment:All the precordial leads, as well as the âlateralâ 1 and aVL show ST segment elevation reciprocated by depression in the three
Sudden Death Syndrome: Main Left Pattern
Report:Atrial fibrillation with mean response 85/min Indeterminate axis Diffuse ST/T changes c/w MI/ischæmia Comment:The patient had recurrent VF and fatal cardiogenic shock in Casualty. The pattern of marked ST segment depression with elevation in
Somatic Tremor
Report: Sinus rhythm SVEB Borderline LVH voltage Somatic tremor Comment: Fortunately, the tremor from the limbs cancelled itself in lead 2152. The frequency of the tremor, approximately 5/sec (like atrial flutter), suggests Parkinsonâs disease. True
Romano-Ward Syndrome
Report: Sinus tachycardia 112/min Prolonged QT interval Measured QT = 0.40â Normal QTc for 122/min = 0.335â Actual QTc = = 0.40/0.748 = 0.53" Comment: This is a classical presentation of this uncommon syndrome. The patient was sent to Sydney for
Pacemaker-Induced Reverse Wenckebach
Report:Sinus rhythm 56 – 58/min 1 Reverse Wenckebach AV conduction 5 Demand pacemaker rhythm 60/min 1 Left atrial abnormality (LAA) 1 LVH with ST/T changes/incomplete LBBB 2 Comment:This may be the first reported case of reverse Wenckebach in a 12-le
RBBB: Paced Fusion Rhythm
Report:Sinus tachycardia 107/min 1 Atrial-sensing ventricular pacemaker, 100% capture 2 Presumptive right bundle branch block 5 Fusion complexes throughout 2 Comment:This is similar to the delectable deduction in Case 38, except that the pacemaker’s