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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
LBBB with RAD: Acute Inferior Infarction
Report:Sinus rhythm 96-100/min Third degree AV block Junctional escape rhythm 45/min Left bundle branch block Right axis deviation +95o Acute inferior infarction Comment:Three contributors to heart failure are present in this trace: Acute infarction
LBBB with Transient Right Axis Deviation: Ischæmic Cardiomyopathy
Report: Sinus rhythm Right axis deviation (RAD) + 140o Left bundle branch block Comment: The unusual combination of LBBB and RAD is a surprisingly specific marker of congestive cardiomyopathy29. This patient had CABG following an inferolateral MI; subs
PAT with Block: LBBB RSR' in V1
Report:Atrial tachycardia 216/min with 2:1 block. LBBB. Comment:The only indisputable part of the computer and the Cardiologistâs reports is tachycardia. The tachycardia could not be sinus tachycardia even if there was a 1:1 conduction: the morpholog
Xylocaine Tachycardia
Report:Sinus tachycardia 114/min (middle strip) SVEBs Blocked, in bigeminy (top) Aberrantly conducted, in bigeminy (bottom) Comment: Xylocaine has some atropinic effect and may have facilitated AV conduction, impairing at the same time the intraventr
Xylocaine Tachycardia
Report:Sinus tachycardia 114/min (middle strip) SVEBs Blocked, in bigeminy (top) Aberrantly conducted, in bigeminy (bottom) Comment: Xylocaine has some atropinic effect and may have facilitated AV conduction, impairing at the same time the intraventr
Xylocaine Reflex
Report: Top & middle: Atrial fibrillation Rate-dependent left bundle branch block VEB Bottom: Sinus rhythm SVEBs with LBBB aberration Comment: This is a fine example of xylocaine reflex, compounded by two 200 Joule shocks! There was no need for it:
Pædiatric SVT
Report: Orthodromic atrioventricular re-entrant tachycardia 333/min Possible flutter with 1:1 conduction Left bundle branch block ?Wolff-Parkinson-White syndrome ( see below) Comment: The rate is very fast, but an infantâs flutter can be much faster
Positively Concordant Trigeminy
Report: Sinus tachycardia 130/min VEBs in trigeminy Left atrial abnormality Minor T wave changes Comment: The VEBs are monophasic R complexes from V1 through V6. This is diagnostic of ventricular ectopic origin. A regular run of such beats, however, w
Two Wrongs Making Two Rights!
Report: Sinus tachycardia 110/min Left bundle branch block Left axis deviation Runs of ventricular tachycardia 150 - 160/min AV dissociation Ventricular fusion beats Comment: This is from Schamroth himself: two wrongs sometimes make a right60. The t
SVT with LBBB
Report: Supraventricular tachycardia 152/min Left bundle branch block Comment: The rS complexes in lead V1 are perfectly ânormalâ LBBB complexes in that the initial R wave is narrow, the S downstroke is sharp and the upstroke slurred. The frontal pl