Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Wenckebach Conduction of Sinus Tachycardia
Report: Sinus tachycardia 116/min SVEB Second degree AV block, Möbitz 1 Comment: Some of the blocked P waves look different in shape from others, due to their position on the preceding T wave. Their timing easily distinguishes them from blocked SVEBs.
Complete Heart Block: Anterior MI
Report: Sinus tachycardia Third degree AV block Ventricular escape beats and rhythm Comment: The slowing of the sinus rate in the forth and fifth strips was ominous, reflecting sinus node hypoxia or ischæmia. The ventricular escapes were slow and unr
2:1 AV Block
Report:Sinus tachycardia 112/min 2:1 AV block Comment:The term "advanced" or "high-grade" AV block is used to describe 50% or less conduction. It is not a useful term except for the fact that it is used! Marriott is right in suggesting the term be used
Isoprenaline Tachycardia
Report: Sinus tachycardia 108/min 2:1 AV block (top) Sinus tachycardia 150/min 2:1 & 3:2 Wenckebach AV block (middle) Sinus tachycardia 165/min (bottom) First degree AV block 1:1 conduction Comment: Isoprenaline helped the bradycardia, but at a pri
Right Ventricular Outflow Tract Tachycardia
Report:Ventricular tachycardia 165/min Irregular Non-sustained Sinus tachycardia 125/min Comment:This is a fairly typical RVOT tachycardia, with marked right axis deviation (inferiorly directed, from the âroofâ of the RV) and Rosenbaum pattern in
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
Positively Concordant Trigeminy
Report: Sinus tachycardia 130/min VEBs in trigeminy Left atrial abnormality Minor T wave changes Comment: The VEBs are monophasic R complexes from V1 through V6. This is diagnostic of ventricular ectopic origin. A regular run of such beats, however, w
VT: Dressler Beat
Report:Ventricular tachycardia 188/min Termination by ventricular fusion beat (Dressler beat) Sinus tachycardia 120/min Probable inferior infarction Comment:The rhythm strip is not taken simultaneously with the three channels above. This has the advan
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