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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Atrial-Triggered Failed Pacemaker
Report:Sinus rhythm 94 - 96/min 1 First degree AV block (PR 0.28") 2 Left atrial abnormality (LAA) 1 Atrial-triggered ventricular pacemaker 2 Failure to pace 3 LVH with ST/T changes (incomplete LBBB) ± ischæmia 1 Comment:The pacing spikes bear const
Spiky Ventricular Tachycardia
Report: Pacemaker-mediated tachycardia 118/min 10 Comment: In view of the identical complexes in the admission ECG (Fig 81a) it is hard to believe that Casualty staff thought they were treating a genuine VT with amiodarone. Not to mention the same pacing
LBBB: Primary T Wave Changes
Report:Sinus rhythm 65/min First degree AV block PR 0.28â Left bundle branch block Primary T wave changes 2, 3 and aVF Comment:LBBB always causes repolarisation changes directed opposite the main QRS deflection, especially its terminal half. They a
Left Atrial Abnormality & Three Other Blocks
Report:Sinus rhythm 63/min Left atrial abnormality First degree AV block PR 0.36â Left anterior hemiblock Right bundle branch block LVH voltage RaVL 14 mm Comment:The P wave is 0.16â (4 mm) long in lead 2 and, like the classical P mitrale of
Bradycardia-Dependent RBBB
Report: Sinus/atrial rhythm Shifting pacemaker First degree AV block Second degree AV block, Möbitz I Blocked SVEBs, ?reentry of atrial origin Bradycardia-dependent right bundle branch block Comment: This is the same patient as in Case 1. All the
Pacemaker: Escape-Capture Bigeminy
Report:Sinus tachycardia 100/min First degree AV block (PR 0.28") Second degree AV block. Right bundle branch block Pacemaker (escape) beats Escape-capture bigeminy Comment:Before Bradley and Marriott's classical description6, this rhythm was called
Spurious ST Segment Elevation
Report: Sinus bradycardia 43/min Left atrial abnormality First degree AV block Escape-capture bigeminy Third degree AV block (mid-second strip onward) Junctional rhythm 64/min Comment: The broad shallow sinus P waves, with their first degree AV bl
Classical Wenckebach Trigeminy
Report:Sinus rhythm 98/min Second degree AV block, Möbitz 1, with 4:3 conduction Trigeminy Left atrial abnormality (LAA) Left bundle branch block Atypical repolarisation pattern suggests ischæmia Comment:The patient had low-therapeutic digoxin lev
Post-Ectopic SA Depression Mime of SA Wenckebach
Report:Sinus rhythm 87/min SVEBs, blocked First degree AV block Right bundle branch block Comment:Acceleration before pauses is the hallmark of SA Wenckebach exit block. This would be a good example if the pauses were not generated by premature block
First Degree AV Block
Report:Sinus rhythm 60/min First degree AV block PR interval 0.62â Indeterminate axis Absolute small voltage Minor T wave changes Comment:The PR interval is considerably longer than the R-P interval, confusing the computer into diagnosing junction