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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Fully Compensatory Pause: Post-Ectopic SA Depression
Report:Sinus rhythm 80/min 1 Left atrial abnormality (LAA) 2 SVEB with (fully) compensatory pause 3 Atrial-sensing ventricular pacing with 100% capture 4 Comment:The SVEB, probably of atrial origin, causes a fully compensatory pause – exactly the len
Acute Anterolateral Infarction
Report:Sinus rhythm 68/min VEBs Acute anterolateral infarction Left ventricular hypertrophy voltage Comment:The left circumflex artery was 100% blocked, but successfully dilated and stented at the PTCA. However, a sizeable posterolateral infarction re
CVA: Anterolateral ST Segment Elevation
Report:Atrial fibrillation with rapid ventricular response. VEB. Anterolateral ST segment elevation consistent with MI or ischæmia. Left ventricular hypertrophy. Comment:The patient had no clinical evidence of MI. Note the reciprocal - discrete but d
AIVR & Quadrigeminal VEBs
Report: Accelerated idioventricular rhythm 90/min (AIVR) Retrograde VA conduction Wenckebach phenomenon VEBs in quadrigeminy Fully compensatory pauses (in the AIVR) testing Comment: The first impression is that of dissociated sinus rhythm due to vari
Alternate-Beat Wenckebach Caused by VEBs
Report:Sinus rhythm 92/min VEBs, couplets and triplets R-on-T phenomenon Wenckebach second degree AV block for alternate P waves Acute or recent inferior infarction Comment:The first two consecutively conducted P waves show slight but definite PR int
Three Causes of Pauses & Many Diagnoses
Report:Sinus rhythm 88 - 92/min Left atrial abnormality (LAA) P wave 0.12â SVEB, non-conducted VEBs, late-diastolic Ventricular fusion beat (third last complex in the bottom strip) Junctional escape (top strip) and premature beat (bottom strip), R
AIVR & Quadrigeminal VEBs
Report: Accelerated idioventricular rhythm 90/min (AIVR) Retrograde VA conduction Wenckebach phenomenon VEBs in quadrigeminy Fully compensatory pauses (in the AIVR) Comment: The first impression is that of dissociated sinus rhythm due to variable P-Q
Alternate-Beat Wenckebach Caused by VEBs
Report:Sinus rhythm 92/min VEBs, couplets and triplets R-on-T phenomenon Wenckebach second degree AV block for alternate P waves Acute or recent inferior infarction Comment:The first two consecutively conducted P waves show slight but definite PR int
Three Causes of Pauses & Many Diagnoses
Report:Sinus rhythm 88 - 92/min Left atrial abnormality (LAA) P wave 0.12â SVEB, non-conducted VEBs, late-diastolic Ventricular fusion beat (third last complex in the bottom strip) Junctional escape (top strip) and premature beat (bottom strip), R
VEB: the Compensatory Pause
Report:Sinus rhythm 62/min First degree AV block (PR 0.22â) VEB Left bundle branch block Comment:The P waves are sharply etched in V1 and the one blocked by the VEB is seen quite clearly. There is no need to measure the compensatory pause containing