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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Tall T Waves: Myocardial Rupture
Report: Sinus rhythm Third degree AV block Junctional escape rhythm 43/min Prominent T waves Comment: A rare cause of tall T waves, not unlikely in this case, is free wall rupture167. Other causes (infarction, reciprocal change to remote infarction,
Calcium in Electromechanical Dissociation
Report: Supraventricular tachycardia, probably sinus, 180/min Third degree AV block Junctional escape rhythm 26/min Short QT interval consistent with hypercalcæmia Comment: Electromechanical dissociation (EMD) is not an ECG diagnosis. Sometimes the c
RVH in Eisenmengerâs Syndrome
Report: Sinus rhythm Second degree AV block, Möbitz 1 Junctional escape beats Biatrial enlargement [!xe "Biatrial enlargement" \b!] Right axis deviation Right bundle branch block[!xe "Right bundle branch block:qRV1 in RVH" \b!] Probable right vent
Left Atrial Abnormality & Three Other Blocks
Report:Sinus rhythm 63/min Left atrial abnormality First degree AV block PR 0.36â Left anterior hemiblock Right bundle branch block LVH voltage RaVL 14 mm Comment:The P wave is 0.16â (4 mm) long in lead 2 and, like the classical P mitrale of
COCM: Trifascicular Block
Report:Sinus rhythm 84 - 94/min Left atrial abnormality First degree AV block Right bundle branch block Right axis deviation +125o ?Left posterior hemiblock ?Right ventricular hypertrophy Left ventricular hypertrophy voltage Limb lead R wave > 20
Left Atrial Abnormality
Report:Sinus rhythm 74/min Left atrial abnormality Second degree AV block, Möbitz 2 (Wenckebach) type 4:3 conduction, with trigeminy Horizontal heart position Nonspecific ST/T changes Comment:The P wave is 3 mm broad, with a 1 mm notch; in V1 the P
Myocarditis: the Cascade Effect
Report:Sinus tachycardia 122/min First degree AV block PR interval 0.22â Left anterior hemiblock Right bundle branch block ST/T changes c/c anteroseptal infarction or myocarditis Comment: Sinus P waves are best seen at the end of the T wave in th
RVH in Single Ventricle Transposition with Pulmonary Stenosis
Report:Sinus rhythm approx 125/min (less than 132/min normal for 3 years) Third degree AV block Junctional rhythm 66/min Right atrial abnormality (P congenitale pattern) Right ventricular hypertrophy Comment:The congenital defects in the title above
LBBB: Old Myocardial Infarction
Report:Sinus rhythm 64/min Third degree AV block Junctional escape rhythm 36/min Left bundle branch block QRS 0.22â Probable old anterior infarction Comment:The patient had LBBB since his original infarction; the present morphology is identical t
Incongruous BBBB
Report: Sinus rhythm 84 â 88/min Advanced second degree AV block 3:1 & 4:1 AV block Right bundle branch block PR interval 0.32â Left bundle branch block PR interval 0.20â Comment: This is quite rare. The two bundle branch blocks have differen