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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Scary Pauses in Congenital AV Block
Report:Sinus arrhythmia Third degree AV block Junctional escape rhythm 5.52" pause Comment:Most patients with (idiopathic) congenital heart block have a reasonably fast junctional pacemaker and can get by without pacing. Presence of prolonged pauses m
Complete AV Block
Report:Third degree AV block Sinus bradycardia 42/min Junctional beats (top strip) Atrial fibrillation Junctional escape rhythm 36/min Pacemaker rhythm 82/min Short QT interval ? digoxin toxicity Comment:The varied atrial activity has no effect on
Failed Pacemaker?
Report: Sinus tachycardia 104 - 124/min First degree AV block[!xe "PR interval:long" \t "See AV block, first degree"!] Second degree AV block, probably Möbitz 2 Third degree AV block Ventricular standstill Junctional escape rhythm, ventricular escap
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
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
Atrial Fibrillation with Complete AV Block
Report:Atrial fibrillation Third degree AV block VEB Junctional escape rhythm 42/min Possible old inferior MI Diffuse ST/T changes Comment:The ventricular rate is completely regular and slow, disturbed only by a single VEB. The VEB looks like LBBB,
Congenital Complete Heart Block
Report:Sinus rhythm 100 â 108/min Third degree AV block Junctional escape rhythm 54/min Nonspecific T wave changes Comment:The criteria for AV block as the cause of AV dissociation are fulfilled in that the atrial rate is almost twice faster than th
Complete Heart Block
Report:Sinus rhythm 72/min Third degree AV block Junctional escape rhythm 31/min Left atrial abnormality (LAA) Rightward axis, unusual for age Right bundle branch block Prolonged QT interval (0.70â) QTc 0.50â Comment:This is a typical complete
Sinus Arrest: Asystole
Report: Sinus rhythm 60 â 70/min First degree AV block (PR 0.24â) Second degree AV block (unspecified - movement artefact over the last conducted P wave) Sinus arrest (middle) Sinus tachycardia 104/min (bottom) Third degree AV block Junctional e
Congenital Complete Heart Block: Ventriculophasic Sinus Arrhythmia
Report:Sinus rhythm 67 â 70/min Third degree AV block Junctional escape rhythm 42/min Ventriculophasic sinus arrhythmia Right atrial abnormality (RAA) Comment:The ventricular rate is regular and slow, the faster P waves completely dissociated: comp