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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Ventricular Tachycardia
Report: Atrial tachycardia 130/min First degree AV block Second degree AV block Shifting pacemaker (bottom) VEBs, multiform Ventricular tachycardia 260/min (top) Spontaneous termination Multiform ventricular tachycardia 310/min Ventricular fibrill
Fascicular VT With Retrograde 2:1 Block
Report: Ventricular tachycardia 122/min Retrograde 2:1 V-A block “Retrograde 1o VA block (RP 0.24â)” Comment: The tachycardia originates in the posterior-inferior fascicle of the left bundle branch - it looks like atypical RBBB + LAHB. Despite the r
Another RVOT VT: Retrograde 1:1 Conduction
Report:Ventricular tachycardia 168/min Comment:This is a good example where conduction sequences and QRS morphology do not help in making the diagnosis. Each QRS is followed after 0.18â by a sharp upright P wave in V1 consistent with a retrograde P wav
Good Torsade, Wrong Components
Report: Sinus tachycardia 112/min Left bundle branch block Ventricular tachycardia 118/min Ventricular fusion beats Probable 1:1 retrograde conduction Junctional escape beats (bottom) Comment: The two panels are almost identical and one has to compa
LBBB-Like VT in Patient with LBBB
Report:Ventricular tachycardia 125/min 1:1 retrograde conduction Spontaneous termination Sinus rhythm VEBs, one couplet Comment:The QS complexes in V1 take a very long time to reach the S wave nadir; the upstroke is quite sharp. This is the only reli
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
AV Dissociation in VT
Report: Sinus tachycardia 127/min Left atrial abnormality (LAA) First degree AV block (PR 0.22â) Axis -100o (Northwest, no-manâs land, ânonsenseâ axis) Probable left anterior hemiblock Right bundle branch block VEB, probably fusion beat (5th
VT, then SVT
Report: Sinus rhythm 90/min PR 0.20â Triplet of polymorphous ventricular tachycardia 120/min 5-beat run of atrial tachycardia 118/min Left anterior hemiblock Old anterior infarction Comment: Following the VT, an atrial escape beat is followed b
Runs of Ventricular Tachycardia
Report:Sinus rhythm 85/min VEBs, couplets Runs of ventricular tachycardia 164/min Left atrial abnormality (LAA) Left bundle branch block V2-V3 lead reversal Comment:The patient had many brief runs of VT, always introduced by the qR VEB couplets. The
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