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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
VEB Revealing Old Infarction
Report:Sinus rhythm Atrial bigeminy VEB LVH with ST/T changes Old anterior infarction Comment:A VEB can at times show infarctional Q waves not visible in normal complexes. This holds for QR and similar morphologies, but not the QS complexes44. In thi
Old and New Inferior Infarction
Report:Sinus bradycardia 44/min First degree AV block Right bundle branch block Acute inferior infarction Comment:The splayed, low-amplitude P waves are difficult to time with respect to possible 2:1 block at 88/min. Even isorhythmic AV dissociation c
Extensive Acute Anterior Infarction
Report:Sinus rhythm 97 - 100/min VEBs, bigeminal Left axis deviation Extensive (hyper)acute anterior infarction Comment:All the precordial leads, as well as the âlateralâ 1 and aVL show ST segment elevation reciprocated by depression in the three
Frequent, Multiform, R-on-T VEBs in Acute MI
Report:Atrial fibrillation Possible run of accelerated junctional rhythm 75/min (first four beats) VEBs, dimorphic couplet, R-on-T phenomenon Acute anterolateral infarction Probable old inferior infarction Comment:There is obvious ST segment elevati
Anterior MI: Bigeminal VEBs with Retrograde Conduction
Report:Sinus rhythm 56 â 64/min Left atrial abnormality (LAA) VEBs, bigeminal Retrograde VA conduction Acute anterior infarction Comment:It would be redundant to report poor R wave progression in the face of obvious anterior infarction (the compute
Inferior MI, VEBs & Persistent Wenckebach
Report:Sinus tachycardia 104/min VEBs, frequent, multiform Second degree AV block, Möbitz 1 (Wenckebach) Late transition Nonspecific intraventricular conduction delay (IVCD) Acute inferior infarction Anterolateral ST/T changes c/w MI/ischæmia Co
Acute Anterior MI: Frequent R-on-T VEBs
Report:Sinus rhythm 64/min Frequent R-on-T VEBs Extensive acute anterior infarction Comment:This VEB density (a Holter term) would have evoked xylocaine reflex4 until quite recently. Lown Class V ventricular ectopic activity5 even more so. However, in
Agonal Rhythm
Report: Atrial standstill VEBs (ventricular escape beats) Ventricular tachycardia 110/min Comment: Despite its irregular rate, the broad complex tachycardia is unlikely to represent ventricular response to atrial fibrillation. The agonal rhythm is usua
Torsade de Pointes
Report: Sinus tachycardia 104/min First degree AV block (PR 0.25â) Borderline QTc prolongation (0.38â) VEBs, multiform Dimorphic couplet (beginning of bottom strip) Run of multiform ventricular tachycardia, probably torsade de pointes Comment: T
VEBs & U Waves: Hypokalæmia
ReportSinus rhythm. Sinus arrhythmia. VEBs, bigeminy. Prominent U waves consistent with hypokalæmia. Comment:The ECG monitor alarmed at the heart rate 34/min. This need not be merely spurious bradycardia, a mistake in the first place, due to negative