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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Complete AV Block in Shock
Report:Atrial flutter 375/min Complete (3rd degree) AV block Junctional rhythm 65/min Right axis deviation +90o ?LPHB Right bundle branch block Acute inferior and anteroseptal infarction Leads V3-6 probably right-sided: right ventricular infarction
Monomorphic Ventricular Tachycardia
Report:Ventricular tachycardia 150/min Comment:In lead V1 the QRS is a monophasic R wave with left rabbit ear taller than the right, with duration just over 0.14â. These features, along with bizarre frontal plane axis, are sufficient to diagnose ventri
VEBs Interrupting Flutter Bigeminy
Report: Atrial flutter (tachycardia) 208/min Alternating 4:1 & 2:1 block VEBs (one premature and one escape - fusion - beat) Comment: One and a half supraventricular beats are replaced! The fusion beat counts as only half-replaced. One would also be ac
Atrial Flutter with 1:1 Conduction
Report:Atrial tachycardia (flutter) 202/min 2:1 block (top strip) 1:1 conduction (bottom strips) Rate-dependent left bundle branch block Comment: Note the exact doubling of the ventricular rate in the lower strips. From the rate alone, the rhythm w
Ventricular Tachycardia or Atrial Flutter?
Report:Ventricular tachycardia 250/min Comment:The trace is bizarre enough to qualify for VT; the marked respiratory swing in some leads gives it a multiform appearance. The rate, however, remains uniform and simultaneous leads confirm the basically uni
Rapid SVT With RBBB Aberrancy
Report: Broad-complex, probably supraventricular, tachycardia 270/min ?Atrial flutter with 1:1 conduction and RBBB aberrancy Comment: The initial QRS looks normal in all the leads, while the late forces could âpassâ for RBBB; the axis appears indete
Tachycardia with Complete & Incomplete LBBB
Report:Atrial flutter with 2:1 AV block. Alternating complete & incomplete LBBB. Primary T wave changes. Comment:This is another form of bidirectional tachycardia. It is also an example of double 2:1 block: one in the AV node (for atrial flutter) and a