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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Quinidine Cardioversion
Report: Atrial flutter with variable block Spontaneous termination Sinus rhythm Sinus bradycardia (top strip) Sinus pauses (middle strip) Normal sinus rhythm (bottom strip) Left atrial abnormality (LAA) Right bundle branch block Comment:The sympto
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
Complete Heart Block in Atrial Flutter
Report:Atrial flutter 240/min Third degree AV block Junctional escape rhythm 36/min LVH with ST/T changes ? incomplete LBBB Comment:One would think the patient would have been paced by now. Perhaps there were sound clinical reasons for delaying the de
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
Adenosine Asystole
Report:Atrial flutter 300/min High-grade (advanced) second degree AV block Transient asystole Ventricular escape beat Comment:The patient was admitted to CCU in flutter 310/min with 2:1 block (Fig 12a below). In all fairness, distinction from SVT cann
Bigeminy and Trigeminy: Atrial Flutter
Report:Atrial flutter 250/min Alternating 4:1 & 2:1 (2:1 + 3:2) conduction, with bigeminy (top) 2:1 + 4:3 conduction, with trigeminy (bottom) Comment:Typical flutter has a basic 2:1 block and a more distal, Wenckebach block; this combination accounts f
Concealed Conduction: Atrial Flutter
Report:Sinus rhythm Left atrial abnormality (LAA) Second degree 2:1 AV block Atrial flutter 300/min Third degree AV block Idioventricular escape rhythm 41/min Inferoposterolateral MI, age uncertain, probably old Comment:The flutter maintains a stat
Quinidine Cardioversion
Report: Atrial flutter with variable block Spontaneous termination Sinus rhythm Sinus bradycardia (top strip) Sinus pauses (middle strip) Normal sinus rhythm (bottom strip) Left atrial abnormality (LAA) Right bundle branch block Comment:The sympto
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
Complete Heart Block in Atrial Flutter
Report:Atrial flutter 240/min Third degree AV block Junctional escape rhythm 36/min LVH with ST/T changes ? incomplete LBBB Comment:One would think the patient would have been paced by now. Perhaps there were sound clinical reasons for delaying the de