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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Six Minutes of Multiform Ventricular Tachycardia
Report: Atrial fibrillation with ventricular response 80 â 135/min VEB Ventricular tachycardia, multiform, sustained, 180 â 220/min Atrial fibrillation with slow response 37 â 44/min following VT Comment: This was a repeat Holter study, concerne
Cerebral T Waves
Report: Sinus tachycardia 120/min Vertical heart position Left ventricular hypertrophy with atypical ST/T changes Prolonged QT interval Comment: It is not possible to determine with certainty whether the QT interval is prolonged or U waves are present
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.
Tremor Artefact in Neurology Clinic
Report: Sinus rhythm Somatic tremor artefact Comment: When I saw the recording, I wondered why the tremor was most marked in the chest leads. It is usually the standard leads where tremors mime atrial flutter best. The answer was in the timing. The ECG
Torsade Artefact
Report:Sinus rhythm 82 â 88/min VEBs, one couplet Movement artefact lower panel Comment:For some reason, the (signed) report included â1 episode of torsadesâ (Fig 90a). This is a gross error, given that normal QRS complexes can be mapped out thro
Hypothermia: Brain Death
Report: Sinus rhythm 57/min Early transition J waves consistent with hypothermia Prolonged QT interval 0.55â QTc 0.54â Borderline ST segment elevation Comment: The rate is relatively fast and there is no evidence of tremor: the patient was brain
Sameness in the Same Lead
Report:Atrial fibrillation VEB (6th complex) Intraventricular conduction delay (unspecified) Comment:In all fairness, most of us would disregard the 6th beat if all there was to see was the rhythm strip and the strip was obtained during routine monitor
Pericarditis: PR Segment Displacement
Report: Sinus rhythm 98/min PR segment shift consistent with acute pericarditis Otherwise normal trace Comment: The obvious ST segment shift of Stage I acute pericarditis106 was recorded 14 hours later (below). PR segment displacement is often the earl
Anterior and Inferior Infarction
Report:Sinus rhythm 95/min Left axis deviation -40o Borderline low voltage in frontal leads Old inferior infarction Anterior infarction, age indeterminate Comment:One cannot add âconsistent with ventricular aneurysmâ without knowing the history.
Pædiatric RVH
Report:Sinus rhythm 175/min (upper limit for up to two years) Right atrial abnormality, P congenitale type Right axis deviation +170o Right ventricular hypertrophy RV1 > 5 mm Comment:The infant had a complex anatomy, not predictable per se on her EC