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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Right Ventricular Infarction: Inferior MI with RBBB
Report:Sinus rhythm 65/min Third degree AV block Junctional escape rhythm 40/min Right bundle branch block Left ventricular hypertrophy voltage R2 > 15 mm Acute inferior infarction Right ventricular infarction Comment:It is unusual for inferior in
Old and New Inferior Infarction
Report:Sinus bradycardia 44/min First degree AV block Right bundle branch block Acute inferior infarction Comment:The splayed, low-amplitude P waves are difficult to time with respect to possible 2:1 block at 88/min. Even isorhythmic AV dissociation c
Junctional Rhythm: Acute Anterior Infarction
Report: Junctional rhythm 60/min Right bundle branch block Borderline left axis deviation â 30o Extensive acute anterior infarction Comment: Atrial activity is most apparent in V1, where a spiky positive P wave precedes the QRS by 0.08â. Patients
Acute Cor Pulmonale
Report: Supraventricular tachycardia, probably sinus, 160/min Right axis deviation +95o Small voltage Right bundle branch block Borderline T wave changes Comment: The rhythm strip from a later trace is superimposed over the original one to show the p
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
RBBB as Monophasic R wave in V1
Report:Sinus rhythm 94/min Left anterior hemiblock QRS axis â40o Right bundle branch block Comment:RBBB can be manifest as pure R wave in V1, especially in the presence of a hemiblock. One could not, without a baseline trace in sinus rhythm, diagnos
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
RBBB with Amputated Primary R Wave
Report:Sinus rhythm 95/min Right axis deviation Right bundle branch block Recent anterior infarct Comment:The QR complex in V1 is still RBBB since the delay is all in the RV territory. Before the infarction it was an rSrâ of normal duration (not sho
Retrograde First Degree Ventriculoatrial Block
Report:Junctional rhythm 37/min Retrograde 1o ventriculoatrial (VA) block VA interval 0.28â Right bundle branch block QRS 0.14â Probable old inferoposterolateral infarction Nonspecific ST/T changes Comment:There is a 1:1 retrograde conduction;
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.