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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Another Isolated U Wave Inversion
Report:Sinus rhythm 95/min Right atrial abnormality (RAA) Probable LVH with ST/T changes Inverted U waves c/w ischæmia Movement artefact V5. Comment:This patient, with chronic emphysema and hypertension, had an episode of chest pain two years previo
Left Axis Deviation: Axis Illusion of Emphysema
Report:Sinus rhythm 92/min Left axis deviation â80o Right atrial abnormality (RAA) Q waves in 3, aVF Comment:Although it is not an abnormality per se, the QRS complexes in emphysema are often characteristically slender. The P waves are pointed and
Congenital Heart Block
Report: Respiratory and ventriculophasic sinus arrhythmia Right atrial abnormality (RAA) Left atrial abnormality (LAA) Second degree AV block, unspecified Junctional rhythm 65/min AV dissociation with interference Comment: Congenital heart blocks ar
Congenital Complete Heart Block: Ventriculophasic Sinus Arrhythmia
Report:Sinus rhythm 67 â 70/min Third degree AV block Junctional escape rhythm 42/min Ventriculophasic sinus arrhythmia Right atrial abnormality (RAA) Comment:The ventricular rate is regular and slow, the faster P waves completely dissociated: comp
Congenital Heart Block
Report: Respiratory and ventriculophasic sinus arrhythmia Right atrial abnormality (RAA) Left atrial abnormality (LAA) Second degree AV block, unspecified Junctional rhythm 65/min AV dissociation with interference Comment: Congenital heart blocks ar
Congenital Complete Heart Block: Ventriculophasic Sinus Arrhythmia
Report:Sinus rhythm 67 â 70/min Third degree AV block Junctional escape rhythm 42/min Ventriculophasic sinus arrhythmia Right atrial abnormality (RAA) Comment:The ventricular rate is regular and slow, the faster P waves completely dissociated: comp
AIVR: False Asystole
Report: Sinus rhythm SVEBs Runs of accelerated idioventricular rhythm (AIVR) AV dissociation Ventricular fusion Comment: The AIVR takes over during slowing of the sinus mechanism following SVEBs in the middle and bottom strips and (perhaps) irregular
P-Deformed VEBs
Report: Sinus tachycardia 102/min VEBs Comment: In most cases P waves are not large enough to show through the superimposed VEBs; their presence is inferred from the completely compensatory pause containing the VEB. Here, the P waves are very large an