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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
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
SVEBs in Bigeminy or 2:1 AV Block?
Report: Sinus rhythm 72/min Second degree AV block, 2:1 Ventriculophasic sinus arrhythmia Left bundle branch block Comment: The ventriculophasic effect is so marked that one cannot be completely certain that the atrial complexes at the end of T wave
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
Bigeminy and Trigeminy: Atrial Flutter
Report:Atrial flutter 250/min Alternating 4:1 & 2:1 (2:1 + 3:2) conduction, with bigeminy (top) 2:1 + 4:3 conduction, with trigeminy (bottom) Comment:Typical flutter has a basic 2:1 block and a more distal, Wenckebach block; this combination accounts f
Möbitz 2 Block with Narrow QRS Complexes
Report:Sinus rhythm 90/min Second degree AV block, Möbitz 2 Borderline ST segment depression Comment:This is quite unusual but fulfils perfectly the simplest and most useful definition of Type 2 block: all the PR intervals are the same. Below (Fig 14
Xylocaine Tachycardia
Report:Sinus tachycardia 114/min (middle strip) SVEBs Blocked, in bigeminy (top) Aberrantly conducted, in bigeminy (bottom) Comment: Xylocaine has some atropinic effect and may have facilitated AV conduction, impairing at the same time the intraventr
Aberrant Reentry Beats of Junctional Origin
Report: Sinus bradycardia 36/min (middle & end of bottom strip) Sinus arrest, possibly exit block Junctional escape rhythm Reentry (echo) beats of junctional origin Retrograde first degree VA block 0.26â Antegrade first degree AV block 0.26â Lef
Pacemaker-Sinus Escape-Capture Bigeminy
Report: Sinus rhythm Second degree AV block, unspecified Intraventricular conduction delay (QRS 0.12") Pacemaker escape beats Escape-capture bigeminy Comment: The conducted sinus beats have normal PR intervals, but the P waves following them have the
Sinus-Junctional Escape-Capture Bigeminy
Report:Sinus rhythm 84/min Borderline left atrial abnormality (LAA) Second degree AV block, unspecified Junctional escape beats Escape-capture bigeminy LVH with ST/T changes Comment:Only every third sinus P wave is conducted, with a PR interval just