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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
No Pacing and 2:1 Failure to Sense
Report:Sinus rhythm 55/min 1 Demand pacemaker: failure to pace 2 2:1 failure to sense 5 LVH voltage (SV2 25mm) 0.5 Left atrial abnormality (LAA) 0.5 Old inferior infarct 0.5 Possible old anterior infarct (loss of R height from V2 to V3) 0.5 Commen
Agonal Rhythm
Report:Pacemaker rhythm 60/min 2 Absolute small voltage 3 Probable acute anterior infarction 5 Comment:There is probably an atrial standstill. The patient sustained clinical acute infarction and cardiogenic shock, dying within minutes of this trace b
Atrial Pacemaker: First Degree AV Block
Report:Atrial pacemaker rhythm 90/min 4 AV interval 0.40 sec 2 Borderline intraventricular conduction delay (QRS 0.12 sec) 1 Inferior infarction, probably old 2 Nonspecific ST/T changes 1 Comment:The pacemaker is probably in the AAI mode; there is no
DDD Pacemaker in Acute Infarction with 2:1 AVB
Report:Sinus tachycardia 124/min 2:1 AV block A-sensing ventricular pacemaker rhythm 62/min Fusion beats Acute or recent inferolateral infarction Comment:My first thought was something exotic: accrochage between the temporary pacemaker and the sinus
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
Masquerading Bundle Branch Block
Report:Atrial fibrillation with ventricular response 80-120/min 1 Fixed-rate ventricular pacemaker rhythm 50/min 2 Fusion beat (third paced complex) 1 R-on-T pacing 1 Right bundle branch block 1 Left anterior hemiblock 1 Standard masquerading bundl
R-on-T Pacing
Report:Sinus rhythm 82/min 1 Ventricular pacemaker rhythm 58/min 1 Intermittent failure to sense 3 R-on-T pacing 3 Acute or recent inferior infarction 2 Comment:The first paced beat is paced just after the apex (or nadir, depending on the lead) of t
Inferior MI: Reciprocal Changes & Remote Ischæmia
Report:Sinus rhythm 71/min Acute inferior infarction Comment:The reciprocal changes, although minuscule in 1 and very modest in aVL, are spread through all the chest leads. This is now thought to reflect a large infarction rather than separate, remote i
Hyperacute Anterior Infarction
Report:Sinus rhythm 66/min Acute anterior infarction Comment:The term hyperacute refers to increase in T wave height at a very early stage of myocardial infarction. The waves need not be large. As Goldberger put it6, âthe amplitude of hyperacute T wav
Acute Anteroseptal Infarction
Report:Sinus rhythm 72/min Acute anteroseptal infarction Leads V1 and V3 transposed Comment:The biphasic P wave in the displaced V1 indicates that the lead is in correct position (on the patient). There are new Q waves in V1 and V2, with ST segment ele