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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Atrial Pacemaker: Intermittent Failure to Sense
Report: Adler Roy 18/4/99 11065929Sinus rhythm 66/min 1 Atrial pacemaker discharge 53/min Intermittent failure to sense 2 Pacemaker capture beats 2 Phasic aberrant RBBB conduction 2 Left atrial abnormality (LAA) 1 Anterior infarction, indeterminate
Right Ventricular Infarction or Prinzmetal Angina?
Report:Sinus rhythm 78/min SVEBs, one aberrant, two blocked Wenckebach phenomenon Acute inferior infarction Right ventricular infarction Left ventricular hypertrophy with ST/T changes Comment:The diagnosis of Prinzmetal angina was suggested when ser
Inferior Infarction: Blocks and Arrhythmias
Report:Sinus tachycardia 122/min Second degree AV block, unspecified Junctional escape beats and rhythm 46/min Non-phasic aberrant conduction Acute inferior infarction Comment:It is said that the presence of 2o AV block in inferior infarction denotes
LVH & RBBB
Report:Sinus rhythm 78/min Left atrial abnormality Third degree AV block Ventriculophasic sinus arrhythmia Junctional rhythm 42/min Right bundle branch block Left anterior hemiblock Frontal axis â 40o Left ventricular hypertrophy with ST/T chang
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
Non-Phasic Aberrant Conduction in Interpolated Main-Stem Extrasystoles
Report:Sinus bradycardia 49/min First degree AV block PR interval 0.22â Interpolated junctional (main-stem) extrasystoles Non-phasic aberrant conduction Diffuse T wave changes Comment:The interpolated beats are only slightly different from normal
Phasic Aberrant Conduction in AF: Ashmanâs Phenomenon
Report:Atrial fibrillation with ventricular response 108/min Ashmanâs phenomenon Nonspecific inferior T wave changes Comment:The chest discomfort could be ascribed to AF. In 1947 Gouaux and Ashman published a report of RBBB aberration mimicking VT d
AV Block: Nodal or Ventricular?
Report:Sinus rhythm Second degree AV block Intermittent right bundle branch block & left posterior hemiblock Prolonged QT interval Comment:The PR interval lengthens between the first and the second beat, but fails to grow observably longer between the
Transient LBBB with RAD & Prolonged Interpolation Effect
Report:Sinus rhythm and arrhythmia VEBs, interpolated Sustained PR interval prolongation Left bundle branch block Transient right axis deviation post-VEBs Possible old anterolateral infarction Comment:Two things are of interest here: diminuendo PR i
Junctional Escapes in Wenckebach Pauses
Report:Sinus rhythm Second degree AV block, Möbitz 1 Junctional escape beats Non-phasic aberrant conduction Comment:The ectopic complexes can be either premature or late (escape) beats. Here the Wenckebach pauses are interrupted by junctional escapes