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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Ventriculophasic Sinus Arrhythmia
Report: Sinus rhythm Ventriculophasic sinus arrhythmia[!xe "Ventriculophasic sinus arrhythmia" \b!] 2:1 Second degree AV block Non-specific T wave changes[!xe "P wave:mime by U wave" \b!] Comment: This trace shows that the ventriculophasic effect can
Sinus-Junctional Escape-Capture Bigeminy
Report:Sinus rhythm 84/min Borderline left atrial abnormality (LAA) Second degree AV block, unspecified Junctional escape beats Escape-capture bigeminy LVH with ST/T changes Comment:Only every third sinus P wave is conducted, with a PR interval just
Slow Junctional Escape in Complete AV Block
Report:Sinus rhythm 90/min Third degree AV block Junctional escape rhythm 19/min Anterior infarction ? incomplete LBBB QT/T wave changes consistent with ischæmia or preceding syncope. Comment:As in the previous case, the escape pacemaker, although a
Dig the Break!
Report: Sinus rhythm 96/min Second degree AV block, 2:1[!xe "AV block:concealed:dig the break" \b!] SVEB[!xe "SVEBs:unmasking 2o AV block" \b!] Left bundle branch block Comment: The blocked alternate P waves are almost completely hidden by the descend
Atrial Fibrillation with Complete AV Block
Report:Atrial fibrillation Third degree AV block VEB Junctional escape rhythm 42/min Possible old inferior MI Diffuse ST/T changes Comment:The ventricular rate is completely regular and slow, disturbed only by a single VEB. The VEB looks like LBBB,
Over the Top
Report: Sinus rhythm First degree AV block (shortest PR 0.48â)[!xe "AV block:first degree:skipped P waves" \b!] Second degree AV block, Möbitz 1 (Wenckebach) Skipped P waves (over the top conduction)[!xe "P wave:skipped" \b!] Comment: This is quite
Disappearing P Waves
Report: Sinus rhythm Second degree AV block, Möbitz 1 Comment:The P waves come to be superimposed on T waves as the PR intervals lengthen. Strange to say, this merger of superimposed waves has come to be called fusion by some cardiologists34. The less
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