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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Evanescent RVH: LPHB
Report:Atrial fibrillation, aver. Response 100/min Right axis deviation +140o Right bundle branch block QRV1 Right ventricular hypertrophy or left posterior hemiblock Comment:This case illustrates the problem of assigning the origin of RAD. It could
âTrifascicularâ Block
Report: Sinus rhythm Left atrial abnormality (LAA) First degree AV block PR 0.28â Left posterior hemiblock Right bundle branch block Old anterior infarction Comment: The term âtrifascicularâ is sufficiently polysyllabic and scientific-soundin
Left Posterior Hemiblock Following Aortic Valve Replacement
Report:Sinus rhythm 98/min Right bundle branch block Left posterior hemiblock Axis +115o Nonspecific ST/T changes Comment:One can only diagnose the LPHB with clinical exclusion of RVH. It is easy if the hemiblock suddenly appears or disappears, as in
AV Block: Nodal or Ventricular?
Report:Sinus rhythm Second degree AV block Intermittent right bundle branch block & left posterior hemiblock Prolonged QT interval Comment:The PR interval lengthens between the first and the second beat, but fails to grow observably longer between the
2:1 AV Block in Bad Company
Report:Sinus rhythm 74/min 2:1 second degree AV block Right axis deviation (RAD) +120o Left posterior hemiblock Right bundle branch block Ventriculophasic sinus arrhythmia Comment:The patient had no history of heart disease and had been on cimetidin
Narrow VEBs & Trifascicular Block
Report:Sinus rhythm 85/min Second degree AV block, unspecified VEBs in bigeminy Right axis deviation +120o Left posterior hemiblock Right bundle branch block Comment:Itâs best to observe the bigeminal VEBs in the rhythm strip: no two are the same.
Möbitz 2 Block
Report: Sinus rhythm First degree AV block PR 0.22â Second degree AV block, Möbitz 2 Left posterior hemiblock Right bundle branch block Comment: The fixity of the PR interval rules out Möbitz 1 (Wenckebach) mechanism for the AV block. Almost inv
Complete AV Block in Shock
Report:Atrial flutter 375/min Complete (3rd degree) AV block Junctional rhythm 65/min Right axis deviation +90o ?LPHB Right bundle branch block Acute inferior and anteroseptal infarction Leads V3-6 probably right-sided: right ventricular infarction
2:1 AV Block in Bad Company
Report:Sinus rhythm 74/min 2:1 second degree AV block Right axis deviation (RAD) +120o Left posterior hemiblock Right bundle branch block Ventriculophasic sinus arrhythmia Comment:The patient had no history of heart disease and had been on cimetidin
Narrow VEBs & Trifascicular Block
Report:Sinus rhythm 85/min Second degree AV block, unspecified VEBs in bigeminy Right axis deviation +120o Left posterior hemiblock Right bundle branch block Comment:Itâs best to observe the bigeminal VEBs in the rhythm strip: no two are the same.