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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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
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
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
Ventricular Tachycardia: Pseudo P Waves at Either Complex End
Report:Sinus rhythm 84/min. Ventricular tachycardia 132/min. Complete AV dissociation. Comment:The broad-complex tachycardia has QRS duration 0.20", extreme "Northwest" axis and, best of all, taller left rabbit ear in V1 to declare its ventricular orig
Broad-Complex Ventricular Tachycardia
Report:Ventricular tachycardia 163/min Comment:This example would be difficult to assign LBBB- or RBBB-like status in view of the RS complex in V1. Nevertheless, the QRS duration of approximately 0.20â is in excess of 0.16â required for LBBB-like VT,
Ventricular Tachycardia: RV1
Report:Ventricular tachycardia 220/min. Comment:The patient's age and the relatively fast rate must have influenced the first choice of aberrancy in the Casualty report. The "VT with underlying WPW", however, suggests diagnostic skills beyond electrocard
SVT or Verapamil-Responsive VT?
Report:SVT or VT 156/min. Right bundle branch block. Left anterior hemiblock. Comment:The tachycardia has a typical RBBB/LAHB morphology consistent with aberrantly conducted SVT. The rate varies slightly; this has no diagnostic significance. The probl
Verapamil-Sensitive Ventricular Tachycardia
Report: Ventricular tachycardia 152/min Comment: This arrhythmia resisted flecainide, sotalol, digoxin and adenosine; verapamil slowed the rate significantly (Fig 82a) and allowed partial sinus captures, but could not abolish it. The cardioversion was ef
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