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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Runs of Ventricular Tachycardia
Report: Runs of monomorphic ventricular tachycardia 155/min Spontaneous termination Atrial and junctional escape beats Sinus tachycardia SVEBs ?multifocal atrial tachycardia Intraventricular conduction defect, possibly LBBB Comment: The patient's ar
Bigeminal Ventricular Tachycardia
Report: Atrial fibrillation Incomplete left bundle branch block Probable acute lateral infarction Ventricular tachycardia 204/min[!xe "Ventricular tachycardia:bigeminal" \t "See alternating cycle length"!] Alternating cycle length Comment: The diagno
Arrhythmogenic Right Ventricular Dysplasia
Report: Double sensitivity (1mV = 20mm) Sinus rhythm 73/min VEB Right axis deviation (RAD) +110o Right atrial abnormality (RAA) Absolute small voltage (note the 20 mm/mV calibration) Poor R wave progression Nonspecific ST/T changes Epsilon wave &
Ventricular Tachycardia: Pre-Existent LBBB with Right Axis Deviation
Report: Ventricular tachycardia 167/min Comment: The diagnosis is based on RV1 morphology and the Northwest axis. In addition, the patient was known to have a pre-existing LBBB with RAD (a marker of congestive cardiomyopathy) shown below (Fig 89a). Lead
Monomorphic Ventricular Tachycardia: Minuscule V1 Rabbit Ears
Report:Monomorphic ventricular tachycardia 188/min Comment:The monophasic R complex in V1 has two small ârabbit earsâ; the left one is mostly taller than the right (looking at the rabbit from behind). This is a classic marker of ventricular ectopic o
Wolff-Parkinson-White Syndrome Type âAâ Diagnosed as VT
Report:Atrial fibrillation with rapid response 177/min Anomalous conduction except for last three beats WPW syndrome Comment:This is a fairly typical example, showing either completely anomalous or completely normal complexes. The Cardiology Registrar
Unread Pre-Discharge ECG
Report: Sinus rhythm 58/min Left axis deviation (LAD) - 50o Intraventricular conduction defect (IVCD) Probably LAHB + non-specific conduction delay Possible LVH Giant anteroseptal T wave inversion Prolonged QT interval 0.660â (QTc for 58/min 0.45
LBBB-Like VT in Patient with RBBB
Report: Ventricular tachycardia 178/min LBBB morphology with left axis deviation Comment: Lead V1 has a broad primary R wave (0.04â), distinguishing the ectopic morphology from LBBB conduction. Also, the patientâs basic conduction is RBBB (shown in
ST/T Alternans: Tricyclic Overdose
Report:Broad complex tachycardia of uncertain origin QRS 0.28â Probable atrial ? sinus tachycardia ST/T alternans Comment: The patient was in coma, but not fitting; in shock, but not circulatory collapse; the QRS was well over 0.16â, but there wer
Agonal Ventricular Fibrillation: 12-Lead ECG
Report: Ventricular fibrillation 160/min Comment: It is instructive to compare the lead 2 rhythm strip at the bottom with the simultaneously recorded leads above. This demonstrates continuous undulating activity even where, in a single lead, there appear