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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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
Spurious ST Segment Elevation
Report: Sinus bradycardia 43/min Left atrial abnormality First degree AV block Escape-capture bigeminy Third degree AV block (mid-second strip onward) Junctional rhythm 64/min Comment: The broad shallow sinus P waves, with their first degree AV bl
Classical Wenckebach Trigeminy
Report:Sinus rhythm 98/min Second degree AV block, Möbitz 1, with 4:3 conduction Trigeminy Left atrial abnormality (LAA) Left bundle branch block Atypical repolarisation pattern suggests ischæmia Comment:The patient had low-therapeutic digoxin lev
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
First Degree AV Block
Report:Sinus rhythm 60/min First degree AV block PR interval 0.62â Indeterminate axis Absolute small voltage Minor T wave changes Comment:The PR interval is considerably longer than the R-P interval, confusing the computer into diagnosing junction
VEBs: Trigeminy & Trigeminy
Report:Sinus arrhythmia Left atrial abnormality (LAA) First degree AV block Atrial ectopic beat (second P wave in the bottom strip) VEBs in trigeminy Concealed retrograde conduction Comment:In the top strip, every third P wave is blocked by a VEB. I
R-on-P Bigeminy
Report:Sinus rhythm 93/min First degree AV block (PR 0.28â) VEBs, bigeminal Early transition (counterclockwise rotation) Nonspecific ST/T changes Comment:The VEBs are easily recognised for what they are, with obvious dissociation from the preceding
Escape-Capture Quadrigeminy
Report: Sinus rhythm First degree AV block (PR 0.28â) Incomplete right bundle branch block (Slightly) accelerated ventricular (fascicular) rhythm 69 - 72/min Sinus capture beats Comment: The PR interval would probably be shorter without the inter