Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
VT Triplet in AF with Rapid Ventricular Response
Report:Atrial fibrillation with rapid ventricular response 147/min Triplet of ventricular tachycardia Right axis deviation +120o Possible old anteroseptal infarct Possible LVH with ST/T changes (RV6 > RV5) Comment:The three RRâ complexes are too la
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
Shocking Tachycardia !
Report:Sinus tachycardia 144/min Right bundle branch block Left anterior hemiblock (axis â70o) Acute anterior infarction. Comment:The Casualty staff claimed having seen fusion beats to support their line of therapy. None could be documented, in retr
R-on-T VT?
Report: Sinus rhythm Left bundle branch block Ventricular fusion beat (8th complex) Ventricular tachycardia (flutter)188/min Comment: The answer to the question is: none - no significance! It looks, at first, that the flutter starts with an R-on-T VE
SVT with LBBB
Report: Supraventricular tachycardia 152/min Left bundle branch block Comment: The rS complexes in lead V1 are perfectly ânormalâ LBBB complexes in that the initial R wave is narrow, the S downstroke is sharp and the upstroke slurred. The frontal pl
Ventricular Tachycardia?
Report: Broad complex tachycardia 154/min ?Sinus or SVT with aberrant conduction and massive ST segment elevation Right axis deviation (RAD) +140o Right bundle branch block Probable acute inferior infarction Comment: The tachycardia looks bizarre eno