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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Shocking VT Cheating the Paddles
Report: Ventricular tachycardia 210/min Spontaneous termination Sinus rhythm Left atrial abnormality (LAA) VEBs Acute anterior infarction Movement artefact Leads V2-3 missing Comment: The tracing is rather chaotic, secured in a hurry on a sick pat
Shocking Tachycardia !
Report:Sinus tachycardia 144/min Right bundle branch block Left anterior hemiblock (axis â70o) Acute anterior infarction. Comment:The Casualty staff claimed having seen fusion beats to support their line of therapy. None could be documented, in retr
Irritable Heart
Report:Sinus tachycardia 115/min Intraventricular conduction delay QRS 0.11â SVEBs VEBs, frequent, bigeminal, couplet, multiform Ventricular-ventricular bigeminy (bottom) in dimorphic ventricular tachycardia Runs of ventricular tachycardia 220 - 28
SVT with Pre-Existing Left Bundle Branch Block
Report:Supraventricular tachycardia 200/min[! XE "Supraventricular tachycardia:LBBB:QRS0.16\"" !] Northwest axis +230o Small voltage in frontal leads Left bundle branch block Comment:This is a difficult trace to diagnose with certainty: the main featu
R-on-T VT?
Report: Sinus rhythm Left bundle branch block Ventricular fusion beat (8th complex) Ventricular tachycardia (flutter)188/min Comment: The answer to the question is: none - no significance! It looks, at first, that the flutter starts with an R-on-T VE
Age Hysteresis in Thump Cardioversion
Report: Sinus tachycardia 120/min Ventricular tachycardia, polymorphous, non-sustained, 258/min (top) & variable rate SVEB Thump artefact (marked) Comment: The demonstration was deemed quite successful, until the monitor recording came out in print. T
Accelerated Idioventricular Rhythm
Report:Accelerated idioventricular rhythm 53/min Probable atrial fibrillation Probable fusion beats Comment:The tracing is of interest, inter alia, for the Cardiologistâs report. The putative RBBB is, indeed, most atypical â the broad 0.16â monop
Flecainide: From AF to Ventricular Tachycardia
Report: Atrial fibrillation with rapid ventricular response Ventricular tachycardia 214/min Respiratory artefact Comment: This is one of the best examples of proarrhythmia I have ever seen. There is something ironic in the meticulous recording of the
Pseudo P Waves
Report:Ventricular tachycardia 102/min Sinus rhythm 70/min Sinus capture (fusion) beats with first degree AV block Comment:The initial QRS forces mimic a P wave70 and would be difficult to differentiate from it were it not for the presence of large, bi
Fatal Digoxin Toxicity
[!xe "Digoxin toxicity:VT:fatal DCC" \i!] Report:Fascicular tachycardia 178/min. Comment:There is no definite atrial activity. The QRS complex is just over 0.12" long and has an initial R wave in V1 of 0.04" suggestive of ventricular origin. The axis is