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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Inferior Infarction: Blocks and Arrhythmias
Report:Sinus tachycardia 122/min Second degree AV block, unspecified Junctional escape beats and rhythm 46/min Non-phasic aberrant conduction Acute inferior infarction Comment:It is said that the presence of 2o AV block in inferior infarction denotes
Anterior MI: Bigeminal VEBs with Retrograde Conduction
Report:Sinus rhythm 56 â 64/min Left atrial abnormality (LAA) VEBs, bigeminal Retrograde VA conduction Acute anterior infarction Comment:It would be redundant to report poor R wave progression in the face of obvious anterior infarction (the compute
Pseudoalternans
Report:Sinus tachycardia 111/min VEBs in bigeminy Fusion beats Comment:The first fusion beat appears at the end of the top strip. The middle strips show VEBs in bigeminy, without fusion; the bottom strip shows later-coupled VEBs in fusion, mimicking al
Brain-Stem CVA: SA Wenckebach
Report:Sinus rhythm 56 â 100/min Sino-atrial exit block, Möbitz 1 Minor T wave changes Lead V4 missing Comment:At first, seeing the typical grouping with acceleration before the pause, one thinks of AV Wenckebach. But there is no PR interval prolon
Positive Concordant Pattern: Masquerading BBB
Report: Sinus rhythm Left atrial abnormality Possible right atrial abnormality First degree AV block PR interval 0.22â Alternating atrial (?sino-atrial) pacemaker (rhythm strip)[!xe "Alternating atrial pacemaker!] Atrial bigeminy Right bundle bra
Rate-Dependent LBBB
Report: Sinus rhythm 90/min SVEBs, blocked, in bigeminy Left bundle branch block, rate-dependent Comment: The blocked atrial extrasystoles are discretely etched on the onset of the T wave. A sustained run could be mistaken for sinus bradycardia 50/min.
Pacemaker & Native Escape-Capture Bigeminy
Report:Sinus bradycardia 37/min Junctional & pacemaker escape beats Escape-capture bigeminy Pseudofusion beats Fusion beat Ventricular conduction defect, unspecified Comment:The escape-capture phenomenon depends in this case on sinus bradycardia. T
Escape-Capture Bigeminy in AF
Report: Atrial fibrillation High-grade or complete AV block Junctional rhythm 39/min Pacemaker (escape) rhythm Escape-capture bigeminy Left anterior hemiblock (LAHB) Right bundle branch block Anteroseptal infarction, age uncertain ST/T changes con
Neostigmine Toxicity
Report:Sinus rhythm 3:2 sino-atrial exit block Nonspecific T wave changes Comment:The patient was paralysed by vecuronium for a CAT scan after a traffic accident; she was brought back to Casualty and the relaxant was reversed with 5 mg neostigmine and
Bigeminy in Sino-Atrial Exit Block
Report: Sinus rhythm approximately 90/min Left atrial abnormality (LAA) 3:2 Sino-atrial exit block, Möbitz 1 (Wenckebach) Bigeminy Left axis deviation â35o Comment: Bigeminy like this one has to be differentiated from atrial ectopic bigeminy: half