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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Escape-Capture Bigeminy in AF
Report: Atrial fibrillation 1 High-grade or complete AV block 1 Junctional rhythm 2 Pacemaker rhythm 1 Escape-capture bigeminy 1 Left anterior hemiblock (LAHB) 1 Right bundle branch block 1 Anteroseptal infarction, age uncertain 1 ST/T changes con
Right Ventricular Infarction: Inferior MI with RBBB
Report:Sinus rhythm 65/min Third degree AV block Junctional escape rhythm 40/min Right bundle branch block Left ventricular hypertrophy voltage R2 > 15 mm Acute inferior infarction Right ventricular infarction Comment:It is unusual for inferior in
Acute Extensive Anterior Infarction: Junctional Rhythm
Report:Junctional rhythm 47/min Acute extensive anterior infarction Comment:There are some semantic problems here. A single dissociated P wave â very likely sinus â is seen just before the last QRS complex. Should sinus rhythm be reported as well? O
Wrong Reason for the Right Report
Report:Sinus tachycardia 128/min Third degree AV block Junctional escape rhythm 38/min Acute inferior and right ventricular infarction (Right-sided V leads as labelled) Atrial infarction Comment:The report followed a previous one, on a preceding ECG
Right Ventricular Infarction
Report:Junctional rhythm 44/min Acute inferior infarction Right ventricular infarction Comment:The patientâs shock may well be due to a large infarction, but this is not, electrocardiographically, visible in inferior infarcts unless the reciprocal ch
Junctional Rhythm: Acute Anterior Infarction
Report: Junctional rhythm 60/min Right bundle branch block Borderline left axis deviation â 30o Extensive acute anterior infarction Comment: Atrial activity is most apparent in V1, where a spiky positive P wave precedes the QRS by 0.08â. Patients
RVH in Single Ventricle Transposition with Pulmonary Stenosis
Report:Sinus rhythm approx 125/min (less than 132/min normal for 3 years) Third degree AV block Junctional rhythm 66/min Right atrial abnormality (P congenitale pattern) Right ventricular hypertrophy Comment:The congenital defects in the title above
Pædiatric Right Ventricular Hypertrophy
Report:Probable flutter 300/min with 2:1 block Right axis deviation Right ventricular hypertrophy Comment:In children with congenital heart disease the abnormal RAD is usually manifest as S1S2S3 morphology. The qR in V1 indicates that it is a true RAD,
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