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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
QrV1 Fascicular Tachycardia
Report:Ventricular tachycardia 180/min Comment:The QRS is only 0.10â long, qualifying this as a fascicular VT. Its ventricular source is easily detected in V1, where the broad Q wave slopes obligingly over the requisite 0.06â to its nadir. The gracil
Northwest Axis of Ventricular Tachycardia
Report: Ventricular tachycardia 167/min Comment: The diagnosis of VT rests on monophasic R wave in V1, rS in V6 and the bizarre, âNorthwestâ axis in the limb leads. In V1 there is a soupçon of rabbit ears, with the left one taller than the right. I
Ventricular Tachycardia: A-V Dissociation
Report:Ventricular tachycardia 150/min A-V dissociation Comment:This is, again, a LBBB-like tachycardia with normal axis, in fact diagnosed by the computer as âLBBBâ. This is obviously not the case in view of the slow and notched, laboured descent t
Double, Perhaps Triple Tachycardia
Report:Bidirectional tachycardia 158-162/min[! XE "Bidirectional tachycardia" \t "See Ventricular tachycardia, bidirectional" !] Suggestive of digoxin toxicity Dissociated atrial tachycardia with block Comment:This is the classical form of bidirectiona
Verapamil-Sensitive Ventricular Tachycardia
Report: Ventricular tachycardia 152/min Comment: This arrhythmia resisted flecainide, sotalol, digoxin and adenosine; verapamil slowed the rate significantly (Fig 82a) and allowed partial sinus captures, but could not abolish it. The cardioversion was ef
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