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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Complete Heart Block: Anterior MI
Report: Sinus tachycardia Third degree AV block Ventricular escape beats and rhythm Comment: The slowing of the sinus rate in the forth and fifth strips was ominous, reflecting sinus node hypoxia or ischæmia. The ventricular escapes were slow and unr
Advanced 2o AV Block
Report: Sinus rhythm Progressive first degree AV block (top) VEBs Advanced second degree AV block Comment: The 14 second pause follows the VEB, but the ground had been set even before the first VEB: a single blocked P wave is seen at the end of the to
Bilateral Bundle Branch Block (BBBB)
Report:Sinus rhythm 94/min Advanced (4:1) AV block Left bundle branch block Comment:While it is possible that there exist independent AV nodal block and isolated LBB disease, the block as recorded is more likely an expression of BBBB, viz. permanent
First Degree AV Block on Carbamazepine
Report:Sinus rhythm 66/min First degree AV block PR interval 0.48â Normal QRS-T morphology Comment: The patient had hydrocephalus from Dandy Walker abnormality requiring ventriculo-peritoneal shunting and severe epilepsy requiring several drugs,
Möbitz 2 Block with Narrow QRS Complexes
Report:Sinus rhythm 90/min Second degree AV block, Möbitz 2 Borderline ST segment depression Comment:This is quite unusual but fulfils perfectly the simplest and most useful definition of Type 2 block: all the PR intervals are the same. Below (Fig 14
Long Latency
Report: Sinus rhythm Latent (first degree) AV block PR 0.90â Left anterior hemiblock Right bundle branch block Old anterior infarction Comment: This is the longest sustained first degree AV block I have seen. It is possible that the rhythm is othe
Cherchez le P!
Report: Sinus rhythm Second degree AV block, Möbitz 1 Acute inferior infarction Comment: The title is part Marriottâs famous phrase on how to tackle arrhythmias95; it paraphrases the once even more famous cherchez la femme, now squashed by the polit
PAT with Block: Pacemaker Lead
Report:Atrial tachycardia 138/min Second degree AV block, Möbitz 1; 2:1 & 3:2 block Right atrial electrode recording (bottom strips) Comment:The question is a "trick" one, designed to implicate the spurious change in the heart rate in the patient's pr
Classical Wenckebach Trigeminy
Report:Sinus rhythm 98/min Second degree AV block, Möbitz 1, with 4:3 conduction Trigeminy Left atrial abnormality (LAA) Left bundle branch block Atypical repolarisation pattern suggests ischæmia Comment:The patient had low-therapeutic digoxin lev
Post-Ectopic SA Depression Mime of SA Wenckebach
Report:Sinus rhythm 87/min SVEBs, blocked First degree AV block Right bundle branch block Comment:Acceleration before pauses is the hallmark of SA Wenckebach exit block. This would be a good example if the pauses were not generated by premature block