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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
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 Critical Rate
Report: Sinus tachycardia VEBs First degree AV block (PR about 0.24â) Right bundle branch block, rate-dependent Critical rate approx. 124/min Comment: The slight deceleration of the sinus rate from top to bottom reveals the critical rate, about 124
Gradual Completion of LBBB
Report: Sinus rhythm SVEBs Incomplete left bundle branch block Complete left bundle branch block, rate-dependent Comment: The tall monophasic R complexes in 1 and V6, with slightly delayed peak (late intrinsicoid of yore) and no preceding septal q wav
Rate-Dependent RBBB
Report:Sinus rhythm 75/min First degree AV block PR 0.22â VEBs, uniform Rate-dependent right bundle branch block Borderline ST segment depression in 2, aVF Comment:Without a hemiblock, RBBB has a qRS pattern in V6. This is a normal, âseptalâ q
Rate-Dependent LBBB
Report: Sinus rhythm 90/min SVEBs, blocked, in bigeminy Left bundle branch block, rate-dependent Comment: The blocked atrial extrasystoles are discretely etched on the onset of the T wave. A sustained run could be mistaken for sinus bradycardia 50/min.
The Race Is Not to the Swiftâ¦
Report: Sinus rhythm & arrhythmia 58 - 74/min. Left anterior hemiblock (LAHB). Right bundle branch block (RBBB). Second degree AV block, 2:1, rate-dependent. Comment:The patient has, in addition to obvious conduction problems, an abnormally marked s
Rate-Dependent LBBB
Report: Sinus rhythm 90/min SVEBs, blocked, in bigeminy Left bundle branch block, rate-dependent Comment: The blocked atrial extrasystoles are discretely etched on the onset of the T wave. In the upper strip, the last LBBB complex has a distinctive nip
The Race Is Not to the Swiftâ¦
Report: Sinus rhythm & arrhythmia 58 - 74/min. Left anterior hemiblock (LAHB). Right bundle branch block (RBBB). Second degree AV block, 2:1, rate-dependent. Comment:The patient has, in addition to obvious conduction problems, an abnormally marked s
Rate-Dependent LBBB
Report: Sinus rhythm 90/min SVEBs, blocked, in bigeminy Left bundle branch block, rate-dependent Comment: The blocked atrial extrasystoles are discretely etched on the onset of the T wave. In the upper strip, the last LBBB complex has a distinctive nip