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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Ventricular Tachycardia or LBBB?
Report:Ventricular tachycardia 166/min. Fusion beats. Comment:The complexes could "pass" for LBBB aberrancy, except for QR morphology in lead 1 and the frontal plane axis of +85o. The occasional narrowing of the QRS is most likely result of ventricular
VT Triplet in AF with Rapid Ventricular Response
Report:Atrial fibrillation with rapid ventricular response 147/min Triplet of ventricular tachycardia Right axis deviation +120o Possible old anteroseptal infarct Possible LVH with ST/T changes (RV6 > RV5) Comment:The three RRâ complexes are too la
Semiventricular Tachycardia
Report: Sinus tachycardia 100/min VEBs in bigeminy Possible ventricular fusion Left axis deviation (LAD) â 40o LVH with ST/T changes Inferior infarction, probably old Comment: Semiventricular is one of my own neologisms. Foreigners often take grea
Slow Ventricular Tachycardia
Report: Ventricular tachycardia 116/min Retrograde conduction Probable acute anterior infarction Comment: The basic LBBB-like morphology with RAD alone designates the tachycardia as ectopic ventricular27; its slurred S downslope in V1-2 is also diagnos
Sustained Multiform Ventricular Tachycardia
Report: Top three strips: Multiform ventricular tachycardia, sustained, 240 â 260/min Fourth strip: (post-DC cardioversion) Accelerated idioventricular rhythm 70 â 72/min Bottom strip: Sinus rhythm Comment: Considering the type of customer that
Non-Sustained Multiform Ventricular Tachycardia
Report: Atrial fibrillation with rapid response Intraventricular conduction delay (IVCD), probably left bundle branch block Two runs of multiform ventricular tachycardia, approx. 250/min Sinus rhythm, SVEBs and runs of atrial tachycardia (bottom strip)
Accelerated Idioventricular Rhythm (AIVR)
Report: Accelerated idioventricular rhythm (AIVR) 88/min Comment: The RRâ complexes with taller left rabbit ear in V1, the bizarre (indeterminate, northwest, nonsense) axis and the QRS duration of > 0.16â establish the ectopic ventricular origin of t
Irregular Monomorphic Ventricular Tachycardia
Report:Ventricular tachycardia 128-170/min.[! !][! XE "Ventricular tachycardia:uniform" \t "See monomorphic" !] Periods of bigeminy Comment:It is uncommon for monomorphic VT to be irregular. The irregularity, however, is confined to long-short cycle alt
Ventricular Tachycardia: Electrical Alternans
Report:Ventricular tachycardia 153/min Sinus rhythm 86/min Complete A-V dissociation Comment:This is a fairly typical VT, LBBB-like, with slurred V1 downstroke. The diagnosis is strengthened by the obvious A-V dissociation. In lead 2 and V2-3, there i
Idioventricular Escape Rhythm
Report: No definite atrial activity Idioventricular escape rhythm Right and left bundle branch block morphology Comment: It is quite common to have two escape foci looking like LBBB and RBBB; similarly, patients with a BBB often have escape beats with