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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Axis Illusion
Report: Sinus rhythm VEBs, frequent, multiform Bigeminy Concordant precordial pattern Ventricular tachycardia 120/min (4 beats at the onset of recording) Possible bidirectional ventricular tachycardia Comment: The two beats with marked superior (lef
Ventricular Tachycardia Rightly (Mis)diagnosed
Report:Ventricular tachycardia 170/min Comment:There is nothing against the diagnosis of VT in this trace, and a lot in its favour: monophasic R waves in V1 with left rabbit ear taller than the right and QRS duration over 0.14â (in basic RBBB morpholog
Ventricular Tachycardia
Report: Ventricular tachycardia 190/min Comment: There is a monophasic R in V1, QS in V4-6 and nonsense axis in the frontal plane - the trace is virtually diagnostic of VT. One could think of atypical RBBB with anterolateral infarction or WPW with antegr
Sotalol Torsades de Pointes
Report: Sinus rhythm 67/min Borderline first degree AV block PR 0.20â VEBs, frequent Runs (3-beat, 5-beat) of multiform ventricular tachycardia Incomplete LBBB Prolonged QT interval Comment: The patientâs torsades (Fig 56a) were treated by MgS
Ventricular or Another Atrial Tachycardia?
Report: Ventricular tachycardia 178-180/min Comment: The tachycardia basic LBBB morphology with right axis deviation; the nadir of the S wave in V1 came after more than 0.06â. It looked like VT: RAD with LBBB has never been reported as aberrancy8. This
Variant Form of Bidirectional Ventricular Tachycardia
Report: Bidirectional ventricular tachycardia 140/min Comment: The tachycardia is bidirectional in lead 2 and merely alternating in several other leads. It was a direct descendant of a monomorphic VT (not shown); its other parent may have been 80 mg of s
Double, Perhaps Triple Tachycardia
Report:Bidirectional tachycardia 158-162/min[! XE "Bidirectional tachycardia" \t "See Ventricular tachycardia, bidirectional" !] Suggestive of digoxin toxicity Dissociated atrial tachycardia with block Comment:This is the classical form of bidirectiona
Idiopathic Ventricular Tachycardia
Report: Ventricular tachycardia 181/min Comment: The rate is made irregular by the presence of shorter cycles, as in the Case 2 or Case 61; this is no impediment to the diagnosis of VT. As in the Case 2, the QRS morphology is diagnostic of an ectopic ven
Another Irregular Monomorphic Ventricular Tachycardia
Report: Ventricular tachycardia 152/min Comment: Marked cycle length irregularity is uncommon in sustained monomorphic VT, especially at faster rates, except at the onset or termination of the paroxysm58. Nevertheless, slight variation in cycle length is
Rapid SVT With RBBB Aberrancy
Report: Broad-complex, probably supraventricular, tachycardia 270/min ?Atrial flutter with 1:1 conduction and RBBB aberrancy Comment: The initial QRS looks normal in all the leads, while the late forces could âpassâ for RBBB; the axis appears indete