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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Onset of Multiform VT
Report: Sinus tachycardia 110/min Intraventricular conduction delay, probably RBBB VEBs, possibly fusion beats Small voltage in frontal leads Multiform ventricular tachycardia 160 â 290/min Comment: First, third and sixth beats may be fusion beats,
Accelerated Idioventricular Rhythm
Report:Accelerated idioventricular rhythm 96/min AV dissociation Fusion beat Sinus rhythm 98/min Anterior infarction ?age Comment:This has, at times, been called slow VT. There is no such thing: the term is a contradictio in adjecto. There can be no
The Frailty of Lead 2 Monitoring
Report:Sinus rhythm 78/min VEBs in bigeminy Right bundle branch block Small voltage Possible old anterior infarction Comment:Leads V1-5 clearly distinguish between the ectopic ventricular and the sinus RBBB conduction. Lead 2 performs, as usual, badl
VT, then SVT
Report: Sinus rhythm 90/min PR 0.20â Triplet of polymorphous ventricular tachycardia 120/min 5-beat run of atrial tachycardia 118/min Left anterior hemiblock Old anterior infarction Comment: Following the VT, an atrial escape beat is followed b
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
Repetitive VT
Report:Sinus rhythm ? rate Borderline 1o AV block Repetitive VT 120/min Non-specific ST/T changes Comment:This patient later sustained acute inferior infarction (Fig 198a). The RCA was opened by PTCA and the ST segment elevation in the inferior leads
Double Defibrillation
Report:Atrial fibrillation. VEBs Multiform ventricular tachycardia Spontaneous termination (top) Transition to ventricular fibrillation (middle) Accelerated idioventricular rhythm (bottom) 70 - 76/min Retrograde conduction (first four and last two b
Multiform Ventricular Tachycardia
Report: Atrial fibrillation Runs of multiform ventricular tachycardia 150 â 180/min Right axis deviation +165o Probable right bundle branch block Acute inferior infarction Comment: There are only four pure supraventricular beats to be seen â two
Masquerading Bundle Branch Block: Positive Concordant Precordial Pattern
Report:Atrial fibrillation with rapid ventricular response Left anterior hemiblock Right bundle branch block Masquerading (standard + precordial) bundle branch block Anterior infarction, probably old Comment:This is a case of RBBB with high-grade LAH
VT: Dressler Beat
Report:Ventricular tachycardia 188/min Termination by ventricular fusion beat (Dressler beat) Sinus tachycardia 120/min Probable inferior infarction Comment:The rhythm strip is not taken simultaneously with the three channels above. This has the advan