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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Sinus Bradycardia: Escape-Capture Bigeminy
Report:Sinus bradycardia 38/min 3 Ventricular pacemaker escape beats 2 Escape-capture bigeminy 4 Nonspecific ST/T changes 1 Comment:A precondition for escape-capture bigeminy is a very long effective supraventricular cycle, created in this instance by
Rhythm Strip Bump: P Wave or Artefact?
Report: Sinus bradycardia 25/min Junctional escape beats Escape-capture bigeminy Right axis deviation Right bundle branch block Old anteroseptal infarction Lateral infarction or ischæmia Possible right ventricular hypertrophy Comment: Congenital
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
Another Lead 2 Problem: Narrow Pacemaker Escapes
Report:Sinus bradycardia 38/min Left atrial abnormality Pacemaker escape beats Escape-capture bigeminy ST/T changes c/c ischæmia Comment:Lead 2 rhythm strip (misprinted as lead 1 â we had a machine that always did it) shows narrow paced beats at s
Snow-Boarderâs Snow Hypothermia
Report:Sinus bradycardia 37/min Intraventricular conduction defect c/c hypothermia QRS 0.20â Prolonged QT interval 0.73â QTc 0.58â Comment:The unfortunate youth was stripped in the snow fields to cool him, but his skull and brain were smashed b
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
Pacemaker & Native Escape-Capture Bigeminy
Report:Sinus bradycardia 37/min Junctional & pacemaker escape beats Escape-capture bigeminy Pseudofusion beats Fusion beat Ventricular conduction defect, unspecified Comment:The escape-capture phenomenon depends in this case on sinus bradycardia. T
Complete AV Block
Report:Third degree AV block Sinus bradycardia 42/min Junctional beats (top strip) Atrial fibrillation Junctional escape rhythm 36/min Pacemaker rhythm 82/min Short QT interval ? digoxin toxicity Comment:The varied atrial activity has no effect on
Sinus Captures in Nodal Rhythm
Report: Junctional rhythm 42/min Sinus capture beats AV dissociation with interference Concealed conduction Comment: The sinus captures are only possible after sufficient distance from the preceding QRS complex has rendered the AV node amenable to con
Aberrant Reentry Beats of Junctional Origin
Report: Sinus bradycardia 36/min (middle & end of bottom strip) Sinus arrest, possibly exit block Junctional escape rhythm Reentry (echo) beats of junctional origin Retrograde first degree VA block 0.26â Antegrade first degree AV block 0.26â Lef