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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Atrial Pacemaker & WPW Conduction
Report: Atrial pacemaker rhythm 71/min 3 WPW ‘B’ conduction 7 Comment:The AV (i.e., spike to QRS) interval here is about 0.15”, but the atrial wave itself hugs the QRS complex as expected. It is invisible in some leads (e.g., V3-6) because it is not a
WPW âAâ Mime of Inferoposterior Infarction
Report:Sinus rhythm 68/min Wolff-Parkinson-White type âAâ conduction Comment:The QRS appears narrow and the PR interval normal in several â in fact, most â leads. On the other hand, the latter is completely effaced by a δ wave in V2 and V3. The
WPW âAâ Conduction
Report: Sinus rhythm Right axis deviation[!xe "Right axis deviation :WPW" \b!] WPW type âAâ conduction Comment:Subjects (rather than patients) with asymptomatic WPW conduction on routine ECG have normal life expectancy; there is no indication to su
Xylocaine and the δ Wave
Report: Sinus tachycardia Wolff-Parkinson-White conduction Transient normal conduction following injection of 50 mg xylocaine Comment: This patient with postural hypotension ( 90 mmHg drop!) and on multiple medications, was seen in consultation with vi
Left Axis Deviation in WPW Conduction
Report:Sinus arrhythmia 58 â 100/min Left axis deviation â40o Wolff-Parkinson-White conduction, type âBâ Comment:Either type âAâ or âBâ can produce inferior Q waves, usually QS complexes; âAâ, of course, can mimic posterior infarcts
Right Axis Deviation in WPW Conduction
Report:Sinus rhythm 88/min Right axis deviation +110o Wolff-Parkinson-White conduction, type âAâ Comment:For ordinary clinical purposes WPW conduction is best divided into types âAâ and âBâ, from Rosenbaum's now remote 1945 classification.
Variable WPW Conduction
Report:Sinus rhythm 70/min Wolff-Parkinson-White type âBâ conduction Concertina effect Comment:Most of the time the PR interval is so short that the end of the P wave overlaps the delta wave and the P wave may be mistaken for an ectopic deflection
Pædiatric Wolff-Parkinson-White Conduction
Report:Sinus rhythm 190/min Wolff-Parkinson-White conduction, type âAâ Comment:At the age of one to two months, the rate below 191/min is not reported as tachycardia. Atrial activity is barely visible but, where seen, remains consistent with sinus r
Crying Wolff with Surprising Outcome
Report: Supraventricular, possibly junctional, rhythm 54/min Wolff-Parkinson-White conduction, type âBâ Comment: One cannot be completely certain of the provenance of the atrial impulses; they are flat or biphasic in the frontal plane leads. In V1,
WPW Conduction Masking Ischæmia
Report:Sinus rhythm 56/min Intermittent Wolff-Parkinson-White âBâ conduction Comment:The last three beats are conducted normally, in V1 rhythm strip and anterolateral leads V4-6. The ST segment is straight and horizontal in V6, but not enough to com