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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Masquerading Bundle Branch Block
Report:Atrial fibrillation with ventricular response 80-120/min 1 Fixed-rate ventricular pacemaker rhythm 50/min 2 Fusion beat (third paced complex) 1 R-on-T pacing 1 Right bundle branch block 1 Left anterior hemiblock 1 Standard masquerading bundl
Old Anteroseptal MI & BBBB
Report:Atrial fibrillation with rapid response 160/mi9n Right bundle branch block Left anterior hemiblock Standard masquerading bundle branch block Old anteroseptal infarction Comment:In 1 and aVL the QRS resembles LBBB rather than RBBB, a situation
Positive Concordant Pattern: Masquerading BBB
Report: Sinus rhythm Left atrial abnormality Possible right atrial abnormality First degree AV block PR interval 0.22â Alternating atrial (?sino-atrial) pacemaker (rhythm strip)[!xe "Alternating atrial pacemaker!] Atrial bigeminy Right bundle bra
Masquerading and Left BBB: BBBB
Report:Atrial fibrillation with rapid ventricular response 150/min Right bundle branch block Left anterior hemiblock Left bundle branch block Bilateral bundle branch block. Nonspecific ST/T changes Comment:In this case one can diagnose BBBB directly
2:1 & Advanced 2o AV Block
Report: Sinus tachycardia 125/min Left atrial abnormality (LAA) Second degree AV block, 2:1 & advanced First degree AV block (PR 0.28â) in conducted beats VEB (ventricular escape beat) Left anterior hemiblock Right bundle branch block, atypical L
Empty Wenckebach Pauses
Report: Sinus rhythm SVEB (second QRS, bottom strip) Second degree AV block, Möbitz 1 Junctional beats, non-conducted ?Reentry beats of sinus origin Atrial fusion beats, non-conducted Comment: In the upper strips, the Wenckebach sequences are termi
2:1 & Advanced 2o AV Block
Report: Sinus tachycardia 125/min Left atrial abnormality (LAA) Second degree AV block, 2:1 & advanced First degree AV block (PR 0.28â) in conducted beats VEB (ventricular escape beat) Left anterior hemiblock Right bundle branch block, atypical L
Empty Wenckebach Pauses
Report: Sinus rhythm SVEB (second QRS, bottom strip) Second degree AV block, Möbitz 1 Junctional beats, non-conducted ?Reentry beats of sinus origin Atrial fusion beats, non-conducted Comment: In the upper strips, the Wenckebach sequences are termi
Precordial Masquerading Bundle Branch Block
Report :Atrial fibrillation with rapid ventricular response 138/min Northwest axis +260o Right bundle branch block (Probable) left anterior hemiblock Possible old anterior myocardial infarction Nonspecific ST/T changes Positive concordant precordia
Masquerading Bundle Branch Block: Positive Concordant Precordial Pattern
Report:Atrial fibrillation with rapid ventricular response Left anterior hemiblock Right bundle branch block Masquerading (standard + precordial) bundle branch block Anterior infarction, probably old Comment:This is a case of RBBB with high-grade LAH