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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Inferior Infarction: Blocks and Arrhythmias
Report:Sinus tachycardia 122/min Second degree AV block, unspecified Junctional escape beats and rhythm 46/min Non-phasic aberrant conduction Acute inferior infarction Comment:It is said that the presence of 2o AV block in inferior infarction denotes
RVH in Eisenmengerâs Syndrome
Report: Sinus rhythm Second degree AV block, Möbitz 1 Junctional escape beats Biatrial enlargement [!xe "Biatrial enlargement" \b!] Right axis deviation Right bundle branch block[!xe "Right bundle branch block:qRV1 in RVH" \b!] Probable right vent
Conducted LPHB and Escaping LAHB
Report:Sinus rhythm 82/min Left atrial abnormality (LAA) 2:1 AV block Right bundle branch block Left posterior hemiblock Junctional escape (first two) beats RBBB + LAHB morphology Nonspecific ST/T changes Comment:Most commonly, the escape rhythm h
Wenckebach AV Block in Sinus Tachycardia
Report: Sinus tachycardia 106/min Right atrial abnormality (RAA) Second degree AV block, Möbitz 1 Up to 0.48â PR Intervals Junctional escape beat (third last QRS) LVH with ST/T changes Comment: The 4:3 and 5:4 Wenckebach cycles seen from beginni
Trigeminal Bradycardia
Report: Sinus tachycardia Advanced second degree AV block 9 second pause Junctional escape beats Comment: Some sinus beats are probably conducted, e.g., first two in the top strip. The long pause is terminated by a junctional escape (first beat in the
Valsalva ManÅuvre
Report: Top: Sinus rhythm & arrhythmia Blocked SVEB (first pause) Second degree AV block (second pause) Junctional escape beat Bottom: Sinus rhythm & arrhythmia First degree AV block Sinus arrest Comment: The vagal reflex triggered by the inspi
Post-Ectopic Sino-Atrial Depression
Report:Sinus rhythm 74/min SVEBs, one RBBB-aberrant Marked post-ectopic SA depression (overdrive suppression) Left bundle branch block Comment:The 7th beatâs Pâ distorts the T wave of the preceding sinus beat. The pause containing the SVEB is more
Junctional Escapes in Wenckebach Pauses
Report:Sinus rhythm Second degree AV block, Möbitz 1 Junctional escape beats Non-phasic aberrant conduction Comment:The ectopic complexes can be either premature or late (escape) beats. Here the Wenckebach pauses are interrupted by junctional escapes
Sinoatrial Block: CVA
Report:Sinus rhythm Sinus pauses - probable Wenckebach exit block Junctional escape beats and rhythm Atrial fusion beats SVEB. Comment:The sinus cycles tend to shorten before the pause, a characteristic of Möbitz 1 (Wenckebach) exit block. There is
Escape-Capture Bigeminy
Report: Sinus rhythm 92/min Second degree AV block, probably 2:1[!xe "AV block:second degree:2-1" \b!] Junctional escape beats[!xe "Junctional escape beats:second degree AV block" \b!] Escape-capture bigeminy Non-phasic aberration[!xe "Aberrant conduc