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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Atypical LBBB: Anterolateral Q Waves
Report: Sinus rhythm SVEBs, runs of SVT Left axis deviation â50o Intraventricular conduction delay, probably atypical left bundle branch block Probable old anterior infarction ST/T changes suggest infarction/ischæmia. Comment: Post-arrest ECGs (a
Retrograde First Degree Ventriculoatrial Block
Report:Junctional rhythm 37/min Retrograde 1o ventriculoatrial (VA) block VA interval 0.28â Right bundle branch block QRS 0.14â Probable old inferoposterolateral infarction Nonspecific ST/T changes Comment:There is a 1:1 retrograde conduction;
3:2 Möbitz 2 AV Block
Report: Sinus tachycardia 106/min Left atrial abnormality (LAA) Möbitz 2 second degree AV block, 3:2 conduction, with bigeminy Indeterminate axis â140o Right bundle branch block Anteroseptal infarction, probably old Comment: In all instances of t
Concealed Conduction: Atrial Flutter
Report:Sinus rhythm Left atrial abnormality (LAA) Second degree 2:1 AV block Atrial flutter 300/min Third degree AV block Idioventricular escape rhythm 41/min Inferoposterolateral MI, age uncertain, probably old Comment:The flutter maintains a stat
Retrograde First Degree Ventriculoatrial Block
Report:Junctional rhythm 37/min Retrograde 1o ventriculoatrial (VA) block VA interval 0.28â Right bundle branch block QRS 0.14â Probable old inferoposterolateral infarction Nonspecific ST/T changes Comment:There is a 1:1 retrograde conduction;
3:2 Möbitz 2 AV Block
Report: Sinus tachycardia 106/min Left atrial abnormality (LAA) Möbitz 2 second degree AV block, 3:2 conduction, with bigeminy Indeterminate axis â140o Right bundle branch block Anteroseptal infarction, probably old Comment: In all instances of t
Concealed Conduction: Atrial Flutter
Report:Sinus rhythm Left atrial abnormality (LAA) Second degree 2:1 AV block Atrial flutter 300/min Third degree AV block Idioventricular escape rhythm 41/min Inferoposterolateral MI, age uncertain, probably old Comment:The flutter maintains a stat
Monomorphic Ventricular Tachycardia
Report:Ventricular tachycardia 150/min Comment:In lead V1 the QRS is a monophasic R wave with left rabbit ear taller than the right, with duration just over 0.14â. These features, along with bizarre frontal plane axis, are sufficient to diagnose ventri
The Frailty of Lead 2 Monitoring
Report:Sinus rhythm 78/min VEBs in bigeminy Right bundle branch block Small voltage Possible old anterior infarction Comment:Leads V1-5 clearly distinguish between the ectopic ventricular and the sinus RBBB conduction. Lead 2 performs, as usual, badl
VT, then SVT
Report: Sinus rhythm 90/min PR 0.20â Triplet of polymorphous ventricular tachycardia 120/min 5-beat run of atrial tachycardia 118/min Left anterior hemiblock Old anterior infarction Comment: Following the VT, an atrial escape beat is followed b