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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
The Commonest Cause of a Pause
Report:Sinus tachycardia 100/min 1 Atrial-sensing ventricular pacemaker rhythm 1 Blocked SVEB 6 Left atrial abnormality (LAA) 1 Right bundle branch block 1 Comment:There is a subtle but definite change in the T wave of the last paced beat before the
Atrial Pacemaker: Failure to Sense
Report:Sinus rhythm 80/min 1 Atrial pacemaker 2 Failure to sense 2 Blocked atrial P waves of pacemaker origin 4 Left bundle branch block 1 Comment:There is a profusion of pacemaker spikes and LBBB complexes, giving an initial impression of variable a
Right Ventricular Infarction or Prinzmetal Angina?
Report:Sinus rhythm 78/min SVEBs, one aberrant, two blocked Wenckebach phenomenon Acute inferior infarction Right ventricular infarction Left ventricular hypertrophy with ST/T changes Comment:The diagnosis of Prinzmetal angina was suggested when ser
Rate-Dependent LBBB
Report: Sinus rhythm 90/min SVEBs, blocked, in bigeminy Left bundle branch block, rate-dependent Comment: The blocked atrial extrasystoles are discretely etched on the onset of the T wave. A sustained run could be mistaken for sinus bradycardia 50/min.
Xylocaine Tachycardia
Report:Sinus tachycardia 114/min (middle strip) SVEBs Blocked, in bigeminy (top) Aberrantly conducted, in bigeminy (bottom) Comment: Xylocaine has some atropinic effect and may have facilitated AV conduction, impairing at the same time the intraventr
Wrong Footprints
Report:Sinus rhythm Non-conducted SVEBs Trigeminy Left bundle branch block Comment:Surprising number of staff reported these strips as Wenckebach (Möbitz 1) second degree AV block. The reason may be the memory of Marriott's injunction to "recognise
Rate-Dependent LBBB
Report: Sinus rhythm 90/min SVEBs, blocked, in bigeminy Left bundle branch block, rate-dependent Comment: The blocked atrial extrasystoles are discretely etched on the onset of the T wave. In the upper strip, the last LBBB complex has a distinctive nip
Unfinished Wenckebach
Report:Sinus rhythm 76/min Wenckebach phenomenon Atrial trigeminy, possible reentry beats of sinus origin, blocked Frequent VEBs, uniform Positive concordant precordial pattern Left atrial abnormality (LAA) Left anterior hemiblock (frontal axis â6
Xylocaine Tachycardia
Report:Sinus tachycardia 114/min (middle strip) SVEBs Blocked, in bigeminy (top) Aberrantly conducted, in bigeminy (bottom) Comment: Xylocaine has some atropinic effect and may have facilitated AV conduction, impairing at the same time the intraventr
Wrong Footprints
Report:Sinus rhythm Non-conducted SVEBs Trigeminy Left bundle branch block Comment:Surprising number of staff reported these strips as Wenckebach (Möbitz 1) second degree AV block. The reason may be the memory of Marriott's injunction to "recognise