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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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
Fat Parents With Lean Children
Report: Sinus rhythm SVEBs VEBs Intraventricular conduction delay Probable LBBB QRS 0.14â Ventricular fusion beats Comment: Rhythm strips are not the most reliable material for the diagnosis of a bundle branch block (or, for that matter, of any
Fusion Beats in Idioventricular Escape Rhythm
Report:Sinus bradycardia 27/min First degree AV block Right bundle branch block (by inference) Right bundle branch escape rhythm 28/min Fusion beats Comment:As the PR interval shortens the QRS gets fatter. This means that the P waves are conducted. T
Lean Children of Fat Parents
Report: Sinus arrhythmia ? Sino-atrial exit block, Möbitz I Right bundle branch block Pacemaker escape beats Ventricular fusion beats âNormalisationâ of QRS Comment: Both ânormalâ complexes (one in each strip) and the small RBBB complex (6
Atrial Fusion Beats
Report:Sinus rhythm Junctional ? atrial rhythm Shifting (atrial) pacemaker Atrial fusion beats AV dissociation Probable third degree AV block Pacemaker rhythm 63/min Comment:Again, this is a "trick" question, designed to make one look (in vain) for
AIVR & Retrograde Conduction
Report: Sinus arrhythmia VEB (second complex in the top strip) Atrial (?junctional) escape complex (9th in the top strip) Accelerated idioventricular rhythm 86-89/min Retrograde conduction Fusion beats Comment: Typically, the retrograde 1:1 conducti
Sinoatrial Block: CVA
Report:Sinus rhythm Sinus pauses - probable Wenckebach exit block Junctional escape beats and rhythm Atrial fusion beats SVEB. Comment:The sinus cycles tend to shorten before the pause, a characteristic of Möbitz 1 (Wenckebach) exit block. There is
Empty Wenckebach Pauses
Report: Sinus rhythm SVEB (second QRS, bottom strip) Second degree AV block, Möbitz 1 Junctional beats, non-conducted ?Reentry beats of sinus origin Atrial fusion beats, non-conducted Comment: In the upper strips, the Wenckebach sequences are termi
Atrial Fusion Beats
Report:Sinus rhythm Junctional ? atrial rhythm Shifting (atrial) pacemaker Atrial fusion beats AV dissociation Probable third degree AV block Pacemaker rhythm 63/min Comment:Again, this is a "trick" question, designed to make one look (in vain) for
AIVR & Retrograde Conduction
Report: Sinus arrhythmia VEB (second complex in the top strip) Atrial (?junctional) escape complex (9th in the top strip) Accelerated idioventricular rhythm 86-89/min Retrograde conduction Fusion beats Comment: Typically, the retrograde 1:1 conducti