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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Let the Sleeping Dog Lie?
Report:Sinus arrhythmia 45 - 68/min Second degree AV block Two blocked P waves Comment:It is disconcerting to see a spontaneous 3.7" pause, but (i) the patient had a recent inferior MI and (ii) remained asymptomatic during similar episodes while awake.
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
Möbitz 2 AV Block & Right Bundle Branch Block
Report:Sinus rhythm 90/min Second degree AV block, Möbitz 2 Right bundle branch block Borderline left atrial abnormality (LAA) Comment:All the PR intervals, before and after the block, are 0.16â. This is type 2 block, intraventricular: the LBB is b
Unfinished Wenckebach
Report:Sinus rhythm 76/min Wenckebach phenomenon Atrial trigeminy, possible reentry beats of sinus origin, blocked Frequent VEBs, uniform Positive concordant precordial pattern Left atrial abnormality (LAA) Left anterior hemiblock (frontal axis â6
Complete AV Block in Shock
Report:Atrial flutter 375/min Complete (3rd degree) AV block Junctional rhythm 65/min Right axis deviation +90o ?LPHB Right bundle branch block Acute inferior and anteroseptal infarction Leads V3-6 probably right-sided: right ventricular infarction
VEBs in Quadrigeminy
Report:Sinus rhythm 98/min VEBs, one couplet and three triplets (runs of VT) Left atrial abnormality (LAA) Possible old inferior infarction Comment:The VEBs are undoubtedly what they look like, with taller left rabbit ear in an R wave in V1. They grea
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-T Ventricular Fibrillation
Report: Sinus tachycardia Second degree AV block VEBs Bigeminy R-on-T phenomenon Ventricular fibrillation ST segment elevation consistent with epicardial injury Comment: The VEB with the shortest coupling interval initiates VF. It comes right on to
Idioventricular Rhythm & AV Block
Report: Sinus rhythm 84/min Second degree AV block, Möbitz 1 (Wenckebach) Idioventricular rhythm 43/min AV dissociation Fusion beats (4th beat in the top strip, last in second strip) VEBs, small, possibly also fusion beats (bottom strip) Comment: D
Sinus Bradycardia & AIVR
Report: Sinus bradycardia 37 - 44/min Second degree AV block(unspecified) First degree AV block Accelerated idioventricular rhythm (AIVR) 57/min AV dissociation with interference ST segment elevation consistent with ischæmia/infarction Comment: Thi