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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Right, Left, then Right Bundle Branch Block
Report:Sinus tachycardia 140/min Second degree AV block First degree AV block in conducted beats PR 0.30â SVEBs, blocked (causing the pauses) Left bundle branch block Primary repolarisation changes c/c infarction/ischæmia Comment:This is an obvi
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.
Phasic and Non-Phasic Aberrant Conduction
Report:Sinus bradycardia, probably 46 â 50/min SVEBs, LBBB & incomplete RBBB phasic aberrant conduction Junctional escape beats, non-phasic aberrant conduction Left axis deviation, possible LAHB Comment:The allorhythmia consists of repetitive triple
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
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
Wrong Footprints
Report:Sinus rhythm Non-conducted SVEBs Trigeminy Left bundle branch block Comment:Surprising number of staff reported these strips as Wenckebach (Möbitz 1) second degree AV block. The reason may be the memory of Marriott's injunction to "recognise
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. In the upper strip, the last LBBB complex has a distinctive nip
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
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
Wrong Footprints
Report:Sinus rhythm Non-conducted SVEBs Trigeminy Left bundle branch block Comment:Surprising number of staff reported these strips as Wenckebach (Möbitz 1) second degree AV block. The reason may be the memory of Marriott's injunction to "recognise