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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Agonal Pacemaker Rhythm
Report: Pacemaker rhythm 80/min 4 Broad pacemaker complexes 0.36” suggest hyperkalæmia or agonal rhythm 6 Comment: It was the latter – agonal rhythm. I rang the patient’s physician who told me the patient had by then been allowed to die, in cardiogenic
Agonal Rhythm: Pacemaker Failure?
Report: Agonal (chaotic) rhythm 4 Pacemaker spikes 1 Slow rate 3 Failure to pace 2 Comment: The pacemaker spikes may be slow due to inhibition by the native agonal complexes or because of the battery failure. A 12-lead ECG taken 7 months previously sh
Sudden Death During Holter Monitoring
Aortic StenosisReport: Top: Sinus tachycardia 112/min VEBs, frequent, multiform, some in couplets Second strip: Sinus arrhythmia 100 - 64/min Marked ST segment depression consistent with ischæmia Third strip: Sinus arrest Junctional escape rhythm
Agonal Junctional Tachycardia
Report: Sinus bradycardia Junctional tachycardia AV dissociation VEBs, bigeminy (below) Second degree AV block, 2:1 (middle strip) Third degree AV block, ventricular standstill (Agonal) ST segment elevation Comment: The last part of a normal human
Holter-Monitored Sudden Death
Report:Sinus bradycardia 32/min (12.5 mm/sec recording) Asystole Comment:The patient had a routine Holter âto exclude AFâ for a recent occipital CVA and was found dead in his bed. It is not always possible to ascertain whether the death was cardiac
Echo (Reentry) Beats of Junctional Origin
Report: Top strip: Sinus bradycardia, progressive First degree AV block PR 0.24â Junctional escape beats Retrograde first degree AV block (RP 0.28â) Reentry (echo) beats of junctional origin Antegrade PR interval now 0.20â Incomplete RBBB B
Atrial Standstill & Idioventricular Rhythm
Report: Sinus arrest (atrial standstill) Idioventricular escape rhythm 10/min Comment: The amazing aspect of the patientâs extreme bradycardia was that she remained rousable with a pulse rate between 10 and 15/min in Casualty. Attempts to get all the
Agonal Rhythm
Report:Sinus bradycardia ?Shifting pacemaker SVEBs RBBB 3rd degree AV block. Ventricular standstill Comment:Normally, the right atrium is the last part of human heart to stop beating. This is not possible to diagnose from surface electrocardiogram
Echo (Reentry) Beats of Junctional Origin
Report: Top strip: Sinus bradycardia, progressive First degree AV block PR 0.24â Junctional escape beats Retrograde first degree AV block (RP 0.28â) Reentry (echo) beats of junctional origin Antegrade PR interval now 0.20â Incomplete RBBB B
Atrial Standstill & Idioventricular Rhythm
Report: Sinus arrest (atrial standstill) Idioventricular escape rhythm 10/min Comment: The amazing aspect of the patientâs extreme bradycardia was that she remained rousable with a pulse rate between 10 and 15/min in Casualty. Attempts to get all the