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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
End-of-Life Pacemaker Function
Report:Sinus rhythm 75 – 77/min 1 Third degree AV block 2 Pacemaker rhythm 31/min 2 Probable battery depletion 5 Comment:Pacemaker interrogation revealed “end-of-life” battery function, set to bipolar VVI mode at 63/min, but obviously firing at half t
Establishing Pacemaker Dependence the Hard Way
Report: Sinus rhythm 1 Third degree AV block 3 Idioventricular rhythm 2 QT interval 0.86” 1 Sinus arrest 2 Pacemaker rhythm 1 Comment: The surgeon, who got rather flustered when told the heart had stopped, certainly established the diagnosis of thi
Pacemaker-Ventricular Wenckebach
Report: Sinus rhythm 1 Third degree AV block 3 Pacemaker rhythm 2 Möbitz 1 (Wenckebach) pacemaker-ventricular block 4 Comment: There is an allorhythmic succession of 2:1 and 3:2 sequences. The latter show well-marked prolongation of spike-to-QRS inter
Tall T Waves: Myocardial Rupture
Report: Sinus rhythm Third degree AV block Junctional escape rhythm 43/min Prominent T waves Comment: A rare cause of tall T waves, not unlikely in this case, is free wall rupture167. Other causes (infarction, reciprocal change to remote infarction,
LBBB: Old Myocardial Infarction
Report:Sinus rhythm 64/min Third degree AV block Junctional escape rhythm 36/min Left bundle branch block QRS 0.22â Probable old anterior infarction Comment:The patient had LBBB since his original infarction; the present morphology is identical t
Invisible LAHB Causing 2:1 AV Block
Report:Sinus tachycardia 120/min 2:1 AV block Right axis deviation +140o Right bundle branch block Possible old anterolateral infarction Comment:The cause of the RAD may be RVH or old anterolateral MI but the former was certainly not present clinical
Spurious ST Segment Elevation
Report: Sinus bradycardia 43/min Left atrial abnormality First degree AV block Escape-capture bigeminy Third degree AV block (mid-second strip onward) Junctional rhythm 64/min Comment: The broad shallow sinus P waves, with their first degree AV bl
Complete AV Block
Report:Third degree AV block Sinus bradycardia 42/min Junctional beats (top strip) Atrial fibrillation Junctional escape rhythm 36/min Pacemaker rhythm 82/min Short QT interval ? digoxin toxicity Comment:The varied atrial activity has no effect on
Complete Heart Block
Report:Sinus rhythm 72/min Third degree AV block Junctional escape rhythm 31/min Left atrial abnormality (LAA) Rightward axis, unusual for age Right bundle branch block Prolonged QT interval (0.70â) QTc 0.50â Comment:This is a typical complete
Spurious ST Segment Elevation
Report: Sinus bradycardia 43/min Left atrial abnormality First degree AV block Escape-capture bigeminy Third degree AV block (mid-second strip onward) Junctional rhythm 64/min Comment: The broad shallow sinus P waves, with their first degree AV bl