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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Long Latency
Report: Sinus rhythm Latent (first degree) AV block PR 0.90â Left anterior hemiblock Right bundle branch block Old anterior infarction Comment: This is the longest sustained first degree AV block I have seen. It is possible that the rhythm is othe
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;
Narrow VEBs & Trifascicular Block
Report:Sinus rhythm 85/min Second degree AV block, unspecified VEBs in bigeminy Right axis deviation +120o Left posterior hemiblock Right bundle branch block Comment:Itâs best to observe the bigeminal VEBs in the rhythm strip: no two are the same.
Long Latency
Report: Sinus rhythm Latent (first degree) AV block PR 0.90â Left anterior hemiblock Right bundle branch block Old anterior infarction Comment: This is the longest sustained first degree AV block I have seen. It is possible that the rhythm is othe
Fascicular Ventricular Tachycardia & Positive Concordant Precordial Pattern
Report:Ventricular tachycardia 198/min Comment:Fascicular ventricular tachycardia12,13 is distinguished by the relatively narrow QRS width and marked axis deviation in the frontal plane; in this case the QRS lasts just under 0.12â, less than in sinus r
Rabbit Ears For and Against
Report:Upper strip: Sinus tachycardia 104/min VEBs, late-diastolic (R-on-P âphenomenonâ) Lower strip: Sinus rhythm SVEBs, probably of atrial origin RBBB aberrancy Couplet, second SVEB non-conducted Comment:Looking at the rabbit from behind, if
Poor Manâs Exercise Test
Report: Sinus rhythm VEBs, multiform, some interpolated Post-ectopic repolarisation changes ST segment depression Post-ectopic depolarisation changes Rate-dependent right bundle branch block Comment: The presence of intermittent RBBB somewhat sp
SVT with Right Bundle Branch Block Aberrancy
Report:SVT 212/min. Right bundle branch block (RBBB). Right axis deviation +120o probably left posterior hemiblock (LPHB). Comment:The likelihood of aberrancy rests with the rSRâ morphology in lead V1 and the absence of any bizarre features. Verapami
Runs of Aberrant SVT
Report: Sinus rhythm Incomplete right bundle branch block SVEBs, some in couplets, of atrial origin SVEBs, single, of junctional origin, dissociated Short runs of atrial tachycardia Aberrant conduction, RBBB type, variable Comment: The QR morphology
Rapid SVT With RBBB Aberrancy
Report: Broad-complex, probably supraventricular, tachycardia 270/min ?Atrial flutter with 1:1 conduction and RBBB aberrancy Comment: The initial QRS looks normal in all the leads, while the late forces could âpassâ for RBBB; the axis appears indete