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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Killip-Gault Rule and Exception
Report: Sinus rhythm and arrhythmia SVEBs 9 beat run of (probable) atrial fibrillation Rate-dependent bundle branch block, probably LBBB Comment: This is Lead 2 and one cannot tell with certainty that the IVCD is, specifically, LBBB. It looks like it,
Runs of Anomalous Conduction
Report :WPW syndrome Atrial fibrillation Runs of anomalous conduction (Wolff-Parkinson-White type âAâ) Borderline small voltage and T wave changes in frontal leads Comment :Syndrome, rather than mere conduction, because of the arrhythmia. The p
Bizarre Trigeminy
Report:Atrial fibrillation Advanced or complete AV block Ventricular (first triplet) and junctional escape beats VEBs in couplets Trigeminy Small voltage, frontal leads Vertical heart position Possible old anteroseptal infarction Comment:There is
Multiform Bigeminal VEBs: Digoxin Toxicity
Report: Atrial fibrillation VEBs, bigeminal, multiform Nonspecific ST/T changes Comment: Multiform bigeminy is quite characteristic of digoxin toxicity. The VEBs are relatively narrow and may be of fascicular origin. The last 6 beats are all ventricula
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
Non-Sustained Multiform Ventricular Tachycardia
Report: Atrial fibrillation with rapid response Intraventricular conduction delay (IVCD), probably left bundle branch block Two runs of multiform ventricular tachycardia, approx. 250/min Sinus rhythm, SVEBs and runs of atrial tachycardia (bottom strip)
Atrial or Ventricular Fibrillation?
Report: Top: Atrial fibrillation with third degree AV block, or ventricular fibrillation Ventricular standstill Middle: Atrial fibrillation Third degree AV block Junctional rhythm 68/min Bottom: Sinus rhythm 98/min Third degree AV block Junction
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
Masquerading Bundle Branch Block: Positive Concordant Precordial Pattern
Report:Atrial fibrillation with rapid ventricular response Left anterior hemiblock Right bundle branch block Masquerading (standard + precordial) bundle branch block Anterior infarction, probably old Comment:This is a case of RBBB with high-grade LAH
WPW âAâ in AF: Positive Concordant Precordial Pattern
Report:Atrial fibrillation with (very) rapid ventricular response. Anomalous conduction (WPW type âAâ) Wolff-Parkinson-White Syndrome Comment:The rate approaches 300/min but is obviously irregular. The trace is pathognomonic of WPW. The positive co