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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Wrong Footprints
Report:Sinus rhythm Non-conducted SVEBs Trigeminy Left bundle branch block Comment:Surprising number of staff reported these strips as Wenckebach (Möbitz 1) second degree AV block. The reason may be the memory of Marriott's injunction to "recognise
Over the Top
Report: Sinus rhythm First degree AV block (shortest PR 0.48â)[!xe "AV block:first degree:skipped P waves" \b!] Second degree AV block, Möbitz 1 (Wenckebach) Skipped P waves (over the top conduction)[!xe "P wave:skipped" \b!] Comment: This is quite
Skipped P Waves in Wenckebach Conduction
Report: Sinus tachycardia 120-128/min First degree AV block Second degree AV block, Möbitz 1 Periods of 3:2 conduction, with bigeminy Right bundle branch block Pacemaker rhythm 72/min Fusion and pseudofusion beats Comment: The key to correct inter
Möbitz I & II Combined: Arrhythmia Simulator
Report:Sinus rhythm. Möbitz 1 [Wenckebach] second degree AV block, with 3:2 and 4:3 periods [top strip]. Möbitz 2 second degree AV block, with 3:2 and 4:3 periods. Complete RBBB coincident with Möbitz II block. Complete AV block [bottom strip]. Co
Pentageminy!
Report: Sinus rhythm Left atrial abnormality (LAA) Intraventricular conduction delay, probably incomplete LBBB (QRS 0.12â) VEB triplets (VT 220/min) in pentageminy Comment: An allorhythmia is a repetitive pattern of a combination of beats. Pentagemi
AV Dissociation in VT
Report: Sinus tachycardia 127/min Left atrial abnormality (LAA) First degree AV block (PR 0.22â) Axis -100o (Northwest, no-manâs land, ânonsenseâ axis) Probable left anterior hemiblock Right bundle branch block VEB, probably fusion beat (5th
VEBs: (Con)fusion Bigeminy
Report: Sinus rhythm VEBs, late-diastolic, in bigeminy Ventricular fusion beats Comment: There are, depending on the VEBsâ timing, different degrees of fusion. Note how the sinus contribution is proportional to the PR interval of the fusion beat: t
Sameness in the Same Lead
Report:Atrial fibrillation VEB (6th complex) Intraventricular conduction delay (unspecified) Comment:In all fairness, most of us would disregard the 6th beat if all there was to see was the rhythm strip and the strip was obtained during routine monitor