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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Fusion VEBs in Trigeminy
Report:Sinus tachycardia VEBs in trigeminy Fusion beats Comment:The degree of fusion varies with the P-VEB interval. With only a minor degree of ventricular contribution to fusion, the late-diastolic VEBs may pass unnoticed or be mistaken for effects o
Far-Reaching Interpolation
Report:Sinus rhythm. VEBs, 2 interpolated. Comment:The concealed retrograde conduction governing the PR interval after an intercalated VEB rarely affects more than one cycle. In the top and middle strips, the first VEB is intercalated and prolongs the
R-on-T Ventricular Fibrillation
Report: Sinus tachycardia Second degree AV block VEBs Bigeminy R-on-T phenomenon Ventricular fibrillation ST segment elevation consistent with epicardial injury Comment: The VEB with the shortest coupling interval initiates VF. It comes right on to
Trigeminy with a Pacemaker
Report:Sinus rhythm 90/min AV block, undefined AV dissociation Pacemaker rhythm 48/min Failure to sense Ventricular fusion beat VEBs, interpolated Sinus capture beats, with first degree AV block Comment:The VEBs are interpolated between the LBBB-l
R-on-P Bigeminal Tachycardia
Report: (Lead V1) Sinus tachycardia 108/min Incomplete right bundle branch block VEBs (late-diastolic, R-on-P) in bigeminy Comment: The broader complexes, terminating slightly shorter cycles, fall at the end of sinus P waves. A âtad of fusionâ can
Short Compensatory Pauses?
Report:Sinus rhythm. VEBs, some in pairs (couplets). SVEBs, couplet, following the last VEB couplet. Comment:The single VEB in the middle of the strip appears to have the usual, fully compensatory pause, being contained in a space of two sinus cycles.
Idioventricular Rhythm & AV Block
Report: Sinus rhythm 84/min Second degree AV block, Möbitz 1 (Wenckebach) Idioventricular rhythm 43/min AV dissociation Fusion beats (4th beat in the top strip, last in second strip) VEBs, small, possibly also fusion beats (bottom strip) Comment: D
VT Slowing into AIVR
Report: Sinus rhythm Ventricular tachycardia 140/min Accelerated idioventricular rhythm 80-100/min Comment: Oddly enough, I have never seen AIVR speed up into a VT, but VT slowing into an AIVR is common enough. It is usually a relatively slow VT which
Non-Sustained Right Ventricular Outflow Tract Tachycardia
Report:Sinus tachycardia 110/min Triplets of ventricular tachycardia 180/min Borderline right atrial abnormality (RAA) Comment:This patient was ventilated for unexplained respiratory failure, thought to be vasculitis masquerading as asthma. She had mod
Ventricular Tachycardia
Report: Atrial tachycardia 130/min First degree AV block Second degree AV block Shifting pacemaker (bottom) VEBs, multiform Ventricular tachycardia 260/min (top) Spontaneous termination Multiform ventricular tachycardia 310/min Ventricular fibrill