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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Long Latency
Report: Sinus rhythm Latent (first degree) AV block PR 0.90â Left anterior hemiblock Right bundle branch block Old anterior infarction Comment: This is the longest sustained first degree AV block I have seen. It is possible that the rhythm is othe
Post-Ectopic SA Depression Mime of SA Wenckebach
Report:Sinus rhythm 87/min SVEBs, blocked First degree AV block Right bundle branch block Comment:Acceleration before pauses is the hallmark of SA Wenckebach exit block. This would be a good example if the pauses were not generated by premature block
Möbitz 2 Block
Report: Sinus rhythm Second degree AV block, Möbitz 2 Right bundle branch block Comment: The conducted P waves show no increment in their PR intervals prior to the blocked one - a clear-cut case of Möbitz 2 block. Typically, the QRS itself is prolong
The Race Is Not to the Swiftâ¦
Report: Sinus rhythm & arrhythmia 58 - 74/min. Left anterior hemiblock (LAHB). Right bundle branch block (RBBB). Second degree AV block, 2:1, rate-dependent. Comment:The patient has, in addition to obvious conduction problems, an abnormally marked s
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
Möbitz 2 Block
Report: Sinus rhythm First degree AV block PR 0.22â Second degree AV block, Möbitz 2 Left posterior hemiblock Right bundle branch block Comment: The fixity of the PR interval rules out Möbitz 1 (Wenckebach) mechanism for the AV block. Almost inv
Möbitz 2 AV Block & Right Bundle Branch Block
Report:Sinus rhythm 90/min Second degree AV block, Möbitz 2 Right bundle branch block Borderline left atrial abnormality (LAA) Comment:All the PR intervals, before and after the block, are 0.16â. This is type 2 block, intraventricular: the LBB is b
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
Retrograde First Degree Ventriculoatrial Block
Report:Junctional rhythm 37/min Retrograde 1o ventriculoatrial (VA) block VA interval 0.28â Right bundle branch block QRS 0.14â Probable old inferoposterolateral infarction Nonspecific ST/T changes Comment:There is a 1:1 retrograde conduction;
Escape-Capture Bigeminy in AF
Report: Atrial fibrillation High-grade or complete AV block Junctional rhythm 39/min Pacemaker (escape) rhythm Escape-capture bigeminy Left anterior hemiblock (LAHB) Right bundle branch block Anteroseptal infarction, age uncertain ST/T changes con