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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Primary T Wave Changes
Report:Ventricular pacemaker rhythm 60/min 3 1:1 retrograde conduction 2 Primary T wave changes V1-3 5 Comment:T waves concordant with the QRS complex are no more expected in paced beats than in LBBB: their orientation is due to a myocardial factor rat
Paced Rhythm: Primary T Wave Changes
Report:Sequential pacemaker rhythm 1 SVEBs, with atrial-sensed pacing 2 Ventricular fusion 3 Primary T wave inversion in multiple leads 4 Comment:The pattern is that of global T wave inversion, usually not an ischæmic event. The T wave changes in this
Atrial Sensing and Pacing
Report:Sinus rhythm 75/min 1 VEB 1 Atrial-sensing ventricular pacemaker 3 Atrial sensing and pacing ventricular pacemaker (last beat) 4 Left atrial abnormality (LAA) 1 Comment:This is a DDD pacemaker, responding to both the atrial activity and the la
Anterior Infarction and Rate-Dependent LBBB
Report:Sinus rhythm 66/min SVEBs, blocked Rate-dependent left bundle branch block Anterior infarction ?age Comment:The pauses created by the non-conducted SVEBs are long, but still not fully compensatory. The complexes terminating the pauses are norma
LBBB: Primary T Wave Changes
Report:Sinus rhythm 65/min First degree AV block PR 0.28â Left bundle branch block Primary T wave changes 2, 3 and aVF Comment:LBBB always causes repolarisation changes directed opposite the main QRS deflection, especially its terminal half. They a
Anterior Infarction, LBBB & Its Escape Rhythm
Report:Fig 89: Sinus rhythm 76/min Borderline LAA LVH with ST/T changes Anterior infarction ?age Fig 89a (24 hours later): Sinus rhythm 74/min Alternating complete & incomplete left bundle branch block Primary T wave changes Fig 89b (an hour late
LBBB in Cerebral Hæmorrhage
Report:Sinus rhythm SVEBs Left bundle branch block Primary T wave changes Comment:The patient was on Warfarin for intermittent AF in COCM (EF 30%); the INR was 3.9 at the time of the bleed. Old patients are at very high risk, perhaps due to cerebral a
Tachycardia with Complete & Incomplete LBBB
Report:Atrial flutter with 2:1 AV block. Alternating complete & incomplete LBBB. Primary T wave changes. Comment:This is another form of bidirectional tachycardia. It is also an example of double 2:1 block: one in the AV node (for atrial flutter) and a