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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Failure to Sense
Report:Atrial fibrillation 1 Ventricular pacemaker 1 Failure to sense 2 R-on-T pacing 2 Fusion beat 2 Incomplete right bundle branch block 1 Nonspecific ST/t changes 1 Comment:Failure to sense is only intermittent, since the pacemaker discharge is
Left Axis Deviation in AV Canal Defect
Report:Sinus rhythm 88/min Left axis deviation â60o Incomplete right bundle branch block Comment:Although morphologically indistinguishable from LAHB, the LAD in AV canal defects has different pathology. One should always suspect ostium primum ASD or
Incomplete LBBB
Report:Sinus rhythm 94/min Incomplete LBBB Comment:The QRS is just over 0.10â long and, despite large voltages, there are no âseptalâ q waves in 1, aVL and V6. The last of these also shows delayed intrinsicoid deflection, but nobody looks at that
Gradual Completion of LBBB
Report: Sinus rhythm SVEBs Incomplete left bundle branch block Complete left bundle branch block, rate-dependent Comment: The tall monophasic R complexes in 1 and V6, with slightly delayed peak (late intrinsicoid of yore) and no preceding septal q wav
Sinus Rhythm Faster Than Itself
Report: Nonparoxysmal junctional tachycardia (NPJT) 98-100/min Sinus rhythm 94-96/min Left atrial abnormality Sinus capture beats AV dissociation with interference Left ventricular hypertrophy with ST/T changes (incomplete LBBB) Comment: Paradoxical
Sinus Rhythm Faster Than Itself
Report: Nonparoxysmal junctional tachycardia (NPJT) 98-100/min Sinus rhythm 94-96/min Left atrial abnormality Sinus capture beats AV dissociation with interference Left ventricular hypertrophy with ST/T changes (incomplete LBBB) Comment: Paradoxical
Another Irregular Monomorphic Ventricular Tachycardia
Report: Ventricular tachycardia 152/min Comment: Marked cycle length irregularity is uncommon in sustained monomorphic VT, especially at faster rates, except at the onset or termination of the paroxysm58. Nevertheless, slight variation in cycle length is