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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:Sinus rhythm 85/min VEBs, couplets Runs of ventricular tachycardia 164/min Left atrial abnormality (LAA) Left bundle branch block V2-V3 lead reversal Comment:The patient had many brief runs of VT, always introduced by the qR VEB couplets. The
Bizarre Trigeminy
Report:Atrial fibrillation Advanced or complete AV block Ventricular (first triplet) and junctional escape beats VEBs in couplets Trigeminy Small voltage, frontal leads Vertical heart position Possible old anteroseptal infarction Comment:There is
VEB Couplet
Report:Sinus tachycardia 126/min VEBs, one couplet Ventricular fusion Left bundle branch block Comment:To tell the truth, I reported only a single VEB here during my routine reporting; I kept the tracing as an example of a VEB narrower (perhaps throug
AIVR: False Asystole
Report: Sinus rhythm SVEBs Runs of accelerated idioventricular rhythm (AIVR) AV dissociation Ventricular fusion Comment: The AIVR takes over during slowing of the sinus mechanism following SVEBs in the middle and bottom strips and (perhaps) irregular
P-Deformed VEBs
Report: Sinus tachycardia 102/min VEBs Comment: In most cases P waves are not large enough to show through the superimposed VEBs; their presence is inferred from the completely compensatory pause containing the VEB. Here, the P waves are very large an
Multiform Bigeminal VEBs: Digoxin Toxicity
Report: Atrial fibrillation VEBs, bigeminal, multiform Nonspecific ST/T changes Comment: Multiform bigeminy is quite characteristic of digoxin toxicity. The VEBs are relatively narrow and may be of fascicular origin. The last 6 beats are all ventricula
Mixed Bigeminy
Report: Sinus rhythm 74/min SVEBs, blocked VEBs Left ventricular hypertrophy with ST/T changes Comment: The diagnosis of sinus bradycardia is refuted by the negative (in the inferior leads) P waves â probably of junctional origin â after the first
SVT: Pre-existing RBBB/LAHB
Report: Tachycardia 102/min ? origin Onset of supraventricular tachycardia 190/min Right bundle branch block Left anterior hemiblock Anterior infarction, probably old Comment: Frontal plane axis of â90o and the monophasic R wave in V1 bode ill for
Double Coupling of VEB Couplets
Report: Sinus arrhythmia 85 â 109/min Frequent VEBs Accelerated idioventricular rhythm (AIVR) approx. 65/min Comment: The VEBs come in two morphologies, the tall and the stubby, in the L2 rhythm strip. The tall ones are premature, with a fixed coupli
VEBs: Retrograde Conduction
Report: Sinus rhythm VEBs, trigeminal, uniform Retrograde VA conduction Left atrial abnormality (LAA) Borderline right atrial abnormality (RAA) Probable old posterior infarction Nonspecific ST/T changes Comment: The compensatory pauses are longer t