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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Unusual Wenckebach Sequences
Report:Sinus arrhythmia Second degree AV block, Möbitz 1 Bradycardia-dependent LBBB (4th beat in the top strip) ? Respiratory artefact ? Bradycardia-dependent incomplete LBBB ? Junctional escape beats with non-phasic aberrant conduction Comment:T
Single Beat ECG
Report:Atrial flutter 180/min Third degree AV block Ventricular escape beat Comment:This looks like an agonal ECG, taken by inertia of the admission âworkupâ when the patient was already as good as dead. Not so: he was transferred to CCU, where he
Sinus Pauses
Report: Sinus rhythm Sinus pauses, probably sinus arrests Atrial escape beats Comment: The first beat in each group has a different-contoured P wave and is probably an atrial escape beat. This prevents the pause being measured, but it is already more t
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
2:1 & Advanced 2o AV Block
Report: Sinus tachycardia 125/min Left atrial abnormality (LAA) Second degree AV block, 2:1 & advanced First degree AV block (PR 0.28â) in conducted beats VEB (ventricular escape beat) Left anterior hemiblock Right bundle branch block, atypical L
Pacemaker: Escape-Capture Bigeminy
Report:Sinus tachycardia 100/min First degree AV block (PR 0.28") Second degree AV block. Right bundle branch block Pacemaker (escape) beats Escape-capture bigeminy Comment:Before Bradley and Marriott's classical description6, this rhythm was called
Sudden Ventricular Standstill
Report: Sinus tachycardia 100/min Borderline first degree AV block Left bundle branch block Third degree AV block Ventricular escape beats (bottom) Comment: This is a typical example of AV block in acute anterior infarction: RBBB or LBBB (as here) fo
Complete Heart Block: Anterior MI
Report: Sinus tachycardia Third degree AV block Ventricular escape beats and rhythm Comment: The slowing of the sinus rate in the forth and fifth strips was ominous, reflecting sinus node hypoxia or ischæmia. The ventricular escapes were slow and unr
Junctional Escapes in Wenckebach Pauses
Report:Sinus rhythm Second degree AV block, Möbitz 1 Junctional escape beats Non-phasic aberrant conduction Comment:The ectopic complexes can be either premature or late (escape) beats. Here the Wenckebach pauses are interrupted by junctional escapes
Unusual Wenckebach Sequences
Report:Sinus arrhythmia Second degree AV block, Möbitz 1 Bradycardia-dependent LBBB (4th beat in the top strip) ? Respiratory artefact ? Bradycardia-dependent incomplete LBBB ? Junctional escape beats with non-phasic aberrant conduction Comment:T