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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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
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
R-on-T Run of Non-sustained VT
Report: Sinus tachycardia 144/min Ventricular tachycardia 280-305/min, 6-beat run (Accelerated) junctional escape beats Comment: There are 8 ectopic beats. At some stage during the short run, retrograde conduction found its way into the atria and reset