Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Single Beat ECG
Report:Atrial flutter 180/min Third degree AV block Ventricular escape beat Comment:This looks like an agonal ECG, taken by inertia of the admission âworkupâ when the patient was already as good as dead. Not so: he was transferred to CCU, where he
Atrial Flutter with High-Grade AV Block
Report:Atrial flutter 260/min Advanced (high-grade) AV block Possible junctional escape beats Nonspecific ST/T changes Comment:Complete block is excluded by the irregularity of the admittedly slow ventricular rate. Furthermore, one looks for the short
Sustained Concealed Conduction on Holter Monitor
Report:Sinus rhythm 60 â 70/min Borderline first degree AV block Second degree AV block, Wenckebach (Möbitz 1) type VEB, interpolated Concealed retrograde conduction in three subsequent cycles Comment:Sustained PR interval prolongation after an in
Congenital Complete Heart Block
Report:Sinus rhythm 100 â 108/min Third degree AV block Junctional escape rhythm 54/min Nonspecific T wave changes Comment:The criteria for AV block as the cause of AV dissociation are fulfilled in that the atrial rate is almost twice faster than th
The Bix Rule
Report: Sinus tachycardia 104/min Second degree 2:1 AV block Comment: The rule states that if a P wave (or a Pâ wave) is half-way between the QRS complexes, it probably has a companion P wave hidden within the QRS complex47. This is demonstrated below
Unexpected Ventricular Standstill
Report:Sinus rhythm 82/min Borderline first degree AV block Borderline left atrial abnormality (LAA) Onset of complete AV block with no escape beats Comment:Some escape beats did appear, either through isoprenaline or spontaneously, and the degree of
Sleeper With No ApnÅa
Report:Sinus arrhythmia Variable PR interval Second degree AV block, unspecified Single non-conducted P wave Comment:The block appears due to the respiratory variation of vagal tone and may have no more significance than a similar block induced in a h
Escape-Capture Bigeminy
Report: Sinus rhythm 92/min Second degree AV block, probably 2:1[!xe "AV block:second degree:2-1" \b!] Junctional escape beats[!xe "Junctional escape beats:second degree AV block" \b!] Escape-capture bigeminy Non-phasic aberration[!xe "Aberrant conduc
Complete Heart Block
Report:Sinus rhythm 72/min Third degree AV block Junctional escape rhythm 31/min Left atrial abnormality (LAA) Rightward axis, unusual for age Right bundle branch block Prolonged QT interval (0.70â) QTc 0.50â Comment:This is a typical complete
Heart Transplant: Atrial âParasystoleâ
Report: Top strip: Sinus rhythm 86/min Short PR interval 0.10â Sinus rhythm (non-conducted) 76 - 78/min Atrial pseudofusion beat (middle of the strip) Bottom strip: Sinus rhythm 89/min Short PR interval 0.10â Sinus rhythm (non-conducted) 89/mi