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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Sinus Bradycardia: Escape-Capture Bigeminy
Report:Sinus bradycardia 34 - 43/min Junctional escape beats Escape-capture bigeminy Phasic aberrant conduction, RBBB type Comment: The mechanism of the bigeminy is sinus bradycardia. Here the effective sinus cycle is the same as the actual one; in ot
4:2 AV Block?
Report:Supraventricular tachycardia, probably sinus, 132-150/min First degree AV block (PR 0.22â) Second degree AV block, Möbitz I Concealed AV conduction - Wenckebach with two blocked P waves 4:2 overall conduction ratio or, 2:1 AV block (unspec
Atrial Standstill & Idioventricular Rhythm
Report: Sinus arrest (atrial standstill) Idioventricular escape rhythm 10/min Comment: The amazing aspect of the patientâs extreme bradycardia was that she remained rousable with a pulse rate between 10 and 15/min in Casualty. Attempts to get all the
Rate-Dependent LBBB
Report: Sinus rhythm 90/min SVEBs, blocked, in bigeminy Left bundle branch block, rate-dependent Comment: The blocked atrial extrasystoles are discretely etched on the onset of the T wave. In the upper strip, the last LBBB complex has a distinctive nip
Agonal Rhythm
Report:Sinus bradycardia ?Shifting pacemaker SVEBs RBBB 3rd degree AV block. Ventricular standstill Comment:Normally, the right atrium is the last part of human heart to stop beating. This is not possible to diagnose from surface electrocardiogram
Congenital Complete Heart Block: Ventriculophasic Sinus Arrhythmia
Report:Sinus rhythm 67 â 70/min Third degree AV block Junctional escape rhythm 42/min Ventriculophasic sinus arrhythmia Right atrial abnormality (RAA) Comment:The ventricular rate is regular and slow, the faster P waves completely dissociated: comp
Complete Heart Block in Atrial Fibrillation
Report:Atrial fibrillation Third degree AV block Junctional escape rhythm 44/min LVH with ST/T changes ? incomplete LBBB Comment:At times there is a suggestion of flutter-like organised atrial activity, but the baseline is too variable for flutter. Th
Advanced Second Degree AV Block
Report:Sinus tachycardia 100/min Second degree AV block, advanced ST/T changes consistent with MI/ischæmia Comment:The conducted P waves are all associated with slightly variable first degree block and the QRS complex is narrow: the site of the block
Atropine Bradycardia
Report: Top: Sinus rhythm 83 - 85/min Second degree AV block Escape-capture bigeminy Ventricular rate 55/min Bottom: Sinus tachycardia 100/min 2:1 AV block Ventricular rate 50/min Comment: In the top strip, a basic 2:1 AV block is modified by th
First Degree AV Block
Report:Sinus rhythm 72/min First degree AV block (PR 0.42â) VEBs SVEBs, blocked Left axis deviation â60o Old inferior and anterior infarction Junctional escape beats (last and first) QRS complex Comment:There is some variation in the long PR in