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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Milrinone-Induced Bidirectional Ventricular Tachycardia
Report: Atrial fibrillation with rapid response VEBs, some in dimorphic couplets Four-beat run of bidirectional ventricular tachycardia 126/min Comment: The VT obviously consists of two dimorphic couplets in a row; its significance in the absence of di
Bidirectional Ventricular Tachycardia
Report: Bidirectional ventricular tachycardia Probable digoxin toxicity Supraventricular rhythm of uncertain origin ? atrial fibrillation VEB Multiform ventricular tachycardia Comment: Despite the adverse prognosis and her age, she was discharged hom
Fascicular Ventricular Tachycardia & Positive Concordant Precordial Pattern
Report:Ventricular tachycardia 198/min Comment:Fascicular ventricular tachycardia12,13 is distinguished by the relatively narrow QRS width and marked axis deviation in the frontal plane; in this case the QRS lasts just under 0.12â, less than in sinus r
Ventricular Tachycardia : Narrower QRS in VT
Report: Top: Sinus arrhythmia Borderline first degree AV block VEBs Rate-dependent right bundle branch block Bottom: Sinus rhythm Right bundle branch block Ventricular tachycardia 148/min AV dissociation Comment: The tachycardia in the bottom st
Six Minutes of Multiform Ventricular Tachycardia
Report: Atrial fibrillation with ventricular response 80 â 135/min VEB Ventricular tachycardia, multiform, sustained, 180 â 220/min Atrial fibrillation with slow response 37 â 44/min following VT Comment: This was a repeat Holter study, concerne
Bigeminal Ventricular Tachycardia
Report: Monomorphic ventricular tachycardia 90 â 110/min Alternating cycle length, with bigeminy Retrograde conduction, 1:1 Probable old anterior infarction Comment: Most of the rate variation is in the long cycles. The basic mechanism is probably
VT or VF?
Report: Supraventricular rhythm, probably sinus with SVEBs R-on-T VEBs Ventricular fibrillation Comment: It is sometimes quite difficult to determine if a very fast ventricular rhythm is multiform VT, perhaps torsades de pointes, of VF. This trace was
Broad QS Morphology in Standard and Left Precordial Leads
Report :Sinus rhythm VEB, possibly fusion beat Runs of ventricular tachycardia 210 â 150/min Non-specific ST/T changes Probable old anterolateral infarction Comment :All the VT complexes have QS morphology. In the left precordial leads, this abse
Non-Sustained Ventricular Tachycardia: Fusion and Narrow Capture Beats
Report:Sinus tachycardia 108/min Runs of ventricular tachycardia 134/min Fusion beats Possible old inferior infarction Nonspecific ST/T changes Comment:The diagnosis of ventricular tachycardia is based on (i) R or qR complexes in V1; (ii) A-V dissoci
Slurred R Ascent in V1: Exception to the Rule
Report:Ventricular tachycardia 168/min Comment:The contour of V1 suggests a rabbit in profile, with overlapping ears â not very helpful. If one, more properly, imagines looking at the rabbit from behind, there is a suggestion of larger right ear â no