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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
AV Block with Low Output
Report: Sinus tachycardia Second degree AV block, Möbitz 1 (Wenckebach)[!xe "AV block:second degree:Möbitz 1" \b!] 2:1 & 3:2 conduction Comment: Low output a fortnight after the acute event is difficult problem. The best strategy is to try and âsti
Empty Wenckebach Pauses
Report: Sinus rhythm SVEB (second QRS, bottom strip) Second degree AV block, Möbitz 1 Junctional beats, non-conducted ?Reentry beats of sinus origin Atrial fusion beats, non-conducted Comment: In the upper strips, the Wenckebach sequences are termi
AV Dissociation With Interference
Report: Sinus tachycardia 115/min Second degree AV block, probably Möbitz 1 (Wenckebach) type Wenckebach pauses with two blocked P waves? Junctional escape beats and rhythm? Comment: This is a surprisingly difficult strip to interpret completely. Whi
Möbitz 2 Block
Report: Sinus rhythm First degree AV block PR 0.22â Second degree AV block, Möbitz 2 Left posterior hemiblock Right bundle branch block Comment: The fixity of the PR interval rules out Möbitz 1 (Wenckebach) mechanism for the AV block. Almost inv
Sinus Arrest: Asystole
Report: Sinus rhythm 60 â 70/min First degree AV block (PR 0.24â) Second degree AV block (unspecified - movement artefact over the last conducted P wave) Sinus arrest (middle) Sinus tachycardia 104/min (bottom) Third degree AV block Junctional e
Echo (Reentry) Beats of Junctional Origin
Report: Top strip: Sinus bradycardia, progressive First degree AV block PR 0.24â Junctional escape beats Retrograde first degree AV block (RP 0.28â) Reentry (echo) beats of junctional origin Antegrade PR interval now 0.20â Incomplete RBBB B
Skipped P Waves in Wenckebach Conduction
Report: Sinus tachycardia 120-128/min First degree AV block Second degree AV block, Möbitz 1 Periods of 3:2 conduction, with bigeminy Right bundle branch block Pacemaker rhythm 72/min Fusion and pseudofusion beats Comment: The key to correct inter
AV Block in Inferior Infarction
Report: Top: Sinus rhythm VEB Third degree AV block Junctional escape rhythm 42/min Second strip: Sinus tachycardia 104/min Second degree AV block, 2:1 conduction First degree AV block in conducted beats (PR 0.44â) Third strip: Sinus tachycar
Not a Sinus Bradycardia
Report: Sinus rhythm Sinus arrest Junctional escape beats Retrograde conduction Non-phasic aberrant conduction Escape-capture bigeminy Comment: The phenomenon of escape-capture bigeminy depends on the coincidental arithmetic relationship between the
Xylocaine & BBBB
Report:Atrial tachycardia, possibly sinus, 174/min 2:1 AV block Left bundle branch block Period of 1:1 conduction Comment:The exact doubling and then halving of the ventricular rate should have steered the CCU staff away from xylocaine. Broad complex