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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Mitral Stenosis?
Report: Sinus rhythm Left atrial abnormality P axis â30o Right axis deviation +120o Incomplete right bundle branch block QRS 0.10â Comment: The trace suggests mitral stenosis. The LAA (true P mitrale in this case) is marked, both as increased P-
Another Lead 2 Problem: Narrow Pacemaker Escapes
Report:Sinus bradycardia 38/min Left atrial abnormality Pacemaker escape beats Escape-capture bigeminy ST/T changes c/c ischæmia Comment:Lead 2 rhythm strip (misprinted as lead 1 â we had a machine that always did it) shows narrow paced beats at s
Problems with Lead 2
Report:Atrial fibrillation with rapid ventricular response 127/min Intermittent (rate-dependent) right bundle branch block Nonspecific ST/T changes Comment:The L2 rhythm strip demonstrates that this lead is one of the worst (in this case, the worst) to
The Frailty of Lead 2 Monitoring
Report:Sinus rhythm 78/min VEBs in bigeminy Right bundle branch block Small voltage Possible old anterior infarction Comment:Leads V1-5 clearly distinguish between the ectopic ventricular and the sinus RBBB conduction. Lead 2 performs, as usual, badl
LBBB-Like VT in Patient with LBBB
Report:Ventricular tachycardia 125/min 1:1 retrograde conduction Spontaneous termination Sinus rhythm VEBs, one couplet Comment:The QS complexes in V1 take a very long time to reach the S wave nadir; the upstroke is quite sharp. This is the only reli