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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Ebsteinâs Anomaly
Report:Sinus rhythm 152/min Right axis deviation +140o Incomplete right bundle branch block Probable right ventricular hypertrophy QRV1, RAD Comment: This is one of the ECG forms of Ebsteinâs anomaly; most of them have a relatively small, somewhat
Problems with Lead 2
Report:Atrial fibrillation with rapid ventricular response 127/min Intermittent (rate-dependent) right bundle branch block Nonspecific ST/T changes Comment:The L2 rhythm strip demonstrates that this lead is one of the worst (in this case, the worst) to
Gitelmanâs Syndrome: Hypokalæmia
Report:Sinus rhythm 85/min Right axis deviation +140o Right bundle branch block Large TU waves c/w hypokalæmia Comment:This is, almost, a P-on-U phenomenon (no pun intended), as Schamroth put it11. The diagnosis can only be made, as reported, in a co
Atrial Septal Defect
Report:Sinus rhythm 88/min Left atrial abnormality PTFV1 > 1x1 mm Right atrial abnormality P > 2 mm in V2 Borderline (for age) right axis deviation +100o Incomplete right bundle branch block ST/T changes c/c right ventricular hypertrophy Left vent
Transposition: Biventricular Hypertrophy
Report:Sinus rhythm 76/min Borderline first degree AV block PR 0.18â Right atrial abnormality, P congenitale type Right bundle branch block Right ventricular hypertrophy QRV1 + RAA Biventricular hypertrophy Katz-Wachtel phenomenon Comment:Again
P congenitale: Tetralogy of Fallot
Report:Sinus rhythm First degree AV block PR 0.24â Right atrial abnormality P congenitale (P axis +60o) Right axis deviation +125o Right bundle branch block Right ventricular hypertrophy Comment:In P congenitale the atrial wave is quite large
RBBB With a Difference
Report:Sinus bradycardia Borderline right axis deviation +90o Right bundle branch block V1 â V3 reversed Comment:The RBBB looks strikingly atypical in Lead V1, until one realises that V1 and V3 had been reversed! (Looking at the T wave helps).The tr
Crochetage in ASD
Report:Sinus rhythm Borderline left atrial abnormality Borderline right axis deviation +90o Incomplete right bundle branch block Crochetage in inferior leads suggests ASD Comment:This one did have a fixed split of P2. She was, however, first diagnose
The Critical Rate
Report: Sinus tachycardia VEBs First degree AV block (PR about 0.24â) Right bundle branch block, rate-dependent Critical rate approx. 124/min Comment: The slight deceleration of the sinus rate from top to bottom reveals the critical rate, about 124
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