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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Agonal Pacemaker Rhythm
Report: Pacemaker rhythm 80/min 4 Broad pacemaker complexes 0.36” suggest hyperkalæmia or agonal rhythm 6 Comment: It was the latter – agonal rhythm. I rang the patient’s physician who told me the patient had by then been allowed to die, in cardiogenic
Agonal ST Segment Elevation
Report: Supraventricular rhythm of uncertain origin Sinus rhythm, with sinus arrests Probable junctional rhythm Progressive ST segment elevation Asystole Comment: Initial ST depression, followed by elevation, is quite common terminal event. Presumabl
An Unusual Agonal Alternans
Report: Sinus bradycardia 46/min First degree AV block PR 0.64â Second degree AV block, 3:2 then 2:1 Left atrial abnormality Left bundle branch block QRS 0.42â T wave alternans Comment: The T wave is unaccountably flattened in alternate cycles
P Wave or T Wave?
Report:Sinus bradycardia 37/min. Left atrial abnormality . First degree AV block. Left bundle branch block Comment:The T wave is peaked and sharply demarcated from the preceding ST segment, mimicking a P' wave. Sequential strips (Fig 224a below) gradu
Agonal Rhythm
Report: Atrial standstill VEBs (ventricular escape beats) Ventricular tachycardia 110/min Comment: Despite its irregular rate, the broad complex tachycardia is unlikely to represent ventricular response to atrial fibrillation. The agonal rhythm is usua
Agonal Twist
Report: Sinus tachycardia 157/min (top) Progressive intraventricular conduction delay, RBBB type Torsade de pointes ventricular tachycardia 150 - 175/min (bottom) Comment: The designation of this as torsade de pointes is, perhaps, twisting the point a
Calcium in Electromechanical Dissociation
Report: Supraventricular tachycardia, probably sinus, 180/min Third degree AV block Junctional escape rhythm 26/min Short QT interval consistent with hypercalcæmia Comment: Electromechanical dissociation (EMD) is not an ECG diagnosis. Sometimes the c
Sudden Death During Holter Monitoring
Aortic StenosisReport: Top: Sinus tachycardia 112/min VEBs, frequent, multiform, some in couplets Second strip: Sinus arrhythmia 100 - 64/min Marked ST segment depression consistent with ischæmia Third strip: Sinus arrest Junctional escape rhythm
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
Echo (Reentry) Beats of Junctional Origin
Report: Top strip: Sinus bradycardia, progressive First degree AV block PR 0.24â Junctional escape beats Retrograde first degree AV block (RP 0.28â) Reentry (echo) beats of junctional origin Antegrade PR interval now 0.20â Incomplete RBBB B