Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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
Classical Wenckebach
Report:Sinus rhythm 82 â 86/min Second degree AV block, Möbitz 1 Left atrial abnormality (LAA) Recent inferior infarction Comment:Most clinically observed Wenckebach periods are in some way atypical; the long ones are so as a rule. The commonest at
Let the Sleeping Dog Lie?
Report:Sinus arrhythmia 45 - 68/min Second degree AV block Two blocked P waves Comment:It is disconcerting to see a spontaneous 3.7" pause, but (i) the patient had a recent inferior MI and (ii) remained asymptomatic during similar episodes while awake.
First Degree AV Block
Report:Sinus rhythm 60/min First degree AV block PR interval 0.62â Indeterminate axis Absolute small voltage Minor T wave changes Comment:The PR interval is considerably longer than the R-P interval, confusing the computer into diagnosing junction
Möbitz 2 AV Block & Right Bundle Branch Block
Report:Sinus rhythm 90/min Second degree AV block, Möbitz 2 Right bundle branch block Borderline left atrial abnormality (LAA) Comment:All the PR intervals, before and after the block, are 0.16â. This is type 2 block, intraventricular: the LBB is b
Unfinished Wenckebach
Report:Sinus rhythm 76/min Wenckebach phenomenon Atrial trigeminy, possible reentry beats of sinus origin, blocked Frequent VEBs, uniform Positive concordant precordial pattern Left atrial abnormality (LAA) Left anterior hemiblock (frontal axis â6
Complete AV Block in Shock
Report:Atrial flutter 375/min Complete (3rd degree) AV block Junctional rhythm 65/min Right axis deviation +90o ?LPHB Right bundle branch block Acute inferior and anteroseptal infarction Leads V3-6 probably right-sided: right ventricular infarction
2:1 AV Block in Bad Company
Report:Sinus rhythm 74/min 2:1 second degree AV block Right axis deviation (RAD) +120o Left posterior hemiblock Right bundle branch block Ventriculophasic sinus arrhythmia Comment:The patient had no history of heart disease and had been on cimetidin
Verapamil Overdose
Report: Sinus bradycardia 37/min 2:1 second degree AV block 1o AV block in conducted beats Left bundle branch block Primary T wave changes Comment: The lack of sinus tachycardia is very unhealthy in this situation; much of it could be ascribed to ver
2:1 & Advanced 2o AV Block
Report: Sinus tachycardia 125/min Left atrial abnormality (LAA) Second degree AV block, 2:1 & advanced First degree AV block (PR 0.28â) in conducted beats VEB (ventricular escape beat) Left anterior hemiblock Right bundle branch block, atypical L