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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
LVH & RBBB
Report:Sinus rhythm 78/min Left atrial abnormality Third degree AV block Ventriculophasic sinus arrhythmia Junctional rhythm 42/min Right bundle branch block Left anterior hemiblock Frontal axis â 40o Left ventricular hypertrophy with ST/T chang
Non-Phasic Aberrant Conduction in Interpolated Main-Stem Extrasystoles
Report:Sinus bradycardia 49/min First degree AV block PR interval 0.22â Interpolated junctional (main-stem) extrasystoles Non-phasic aberrant conduction Diffuse T wave changes Comment:The interpolated beats are only slightly different from normal
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
Unusual Wenckebach Sequences
Report:Sinus arrhythmia Second degree AV block, Möbitz 1 Bradycardia-dependent LBBB (4th beat in the top strip) ? Respiratory artefact ? Bradycardia-dependent incomplete LBBB ? Junctional escape beats with non-phasic aberrant conduction Comment:T
Not a Sinus Bradycardia
Report: Sinus rhythm Sinus arrest Junctional escape beats Retrograde conduction Non-phasic aberrant conduction Escape-capture bigeminy Comment: The phenomenon of escape-capture bigeminy depends on the coincidental arithmetic relationship between the
Classical Wenckebach
Report:Sinus rhythm 82 â 86/min Second degree AV block, Möbitz 1 Left atrial abnormality (LAA) Recent inferior infarction Comment:Most clinically observed Wenckebach periods are in some way atypical; the long ones are so as a rule. The commonest at
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
Unusual Wenckebach Sequences
Report:Sinus arrhythmia Second degree AV block, Möbitz 1 Bradycardia-dependent LBBB (4th beat in the top strip) ? Respiratory artefact ? Bradycardia-dependent incomplete LBBB ? Junctional escape beats with non-phasic aberrant conduction Comment:T
Not a Sinus Bradycardia
Report: Sinus rhythm Sinus arrest Junctional escape beats Retrograde conduction Non-phasic aberrant conduction Escape-capture bigeminy Comment: The phenomenon of escape-capture bigeminy depends on the coincidental arithmetic relationship between the