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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Sino-Atrial Wenckebach
Report: Sinus rhythm Left atrial abnormality (LAA) 5:4 and 4:3 sino-atrial exit block, Möbitz 1 Normal QRS/T Comment: In each pause, an entire P-QRS-T sequence is missing; the pause itself is less long than two sinus cycles. There is slight accelerat
Sinus Captures in Nodal Rhythm
Report: Junctional rhythm 42/min Sinus capture beats AV dissociation with interference Concealed conduction Comment: The sinus captures are only possible after sufficient distance from the preceding QRS complex has rendered the AV node amenable to con
Slow Junctional Escape in Complete AV Block
Report:Sinus rhythm 90/min Third degree AV block Junctional escape rhythm 19/min Anterior infarction ? incomplete LBBB QT/T wave changes consistent with ischæmia or preceding syncope. Comment:As in the previous case, the escape pacemaker, although a
AV Block in Inferior Infarction
Report: Top: Sinus rhythm VEB Third degree AV block Junctional escape rhythm 42/min Second strip: Sinus tachycardia 104/min Second degree AV block, 2:1 conduction First degree AV block in conducted beats (PR 0.44â) Third strip: Sinus tachycar
Atrial Fusion Beats
Report:Sinus arrhythmia 64 â 80/min Junctional rhythm 58/min Atrial fusion beats Nonspecific ST/T changes Comment:Three P waves in the middle of the tracing are clearly intermediate in shape between sinus P waves and the junctional retrograde ones;
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
Junctional Rhythm: Fusion Trigeminy
Report: Junctional rhythm 65/min Left bundle branch block VEBs in trigeminy, late-diastolic Ventricular fusion beats Comment: The junctional focus appears protected from the VEBs; the pauses are fully compensatory. The morphology of the junctional bea
Atrial or Ventricular Fibrillation?
Report: Top: Atrial fibrillation with third degree AV block, or ventricular fibrillation Ventricular standstill Middle: Atrial fibrillation Third degree AV block Junctional rhythm 68/min Bottom: Sinus rhythm 98/min Third degree AV block Junction