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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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
Accelerated Idioventricular Rhythm in Complete AV Block
Report: Sinus tachycardia 120/min Accelerated idioventricular rhythm 65/min Third degree AV block Comment: One can confidently diagnose complete AV block when the atrial rate is so much faster than the ventricular, without any captures, the ventricular
Bidirectional AIVR
Report: Alternating (bidirectional in some leads) accelerated idioventricular rhythm Comment: At first glance, the trace suggests RBBB and ventricular bigeminy. It is quite regular and no definite atrial activity can be discerned, except for the wrinkle
Fusion Terminating AIVR
Report: Sinus rhythm 74 â 80/min Accelerated idioventricular rhythm 69 â 74/min Ventricular fusion beat Comment: The AIVR accelerates, but to no avail: the faster sinus rhythm takes over by the middle of the recording. Between the two is a typical
VT Slowing into AIVR
Report: Sinus rhythm Ventricular tachycardia 140/min Accelerated idioventricular rhythm 80-100/min Comment: Oddly enough, I have never seen AIVR speed up into a VT, but VT slowing into an AIVR is common enough. It is usually a relatively slow VT which
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