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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Idioventricular Rhythm in Advanced AV Block
Report: Sinus rhythm Advanced (high-grade) second degree AV block Left bundle branch block Idioventricular escape rhythm Right bundle branch block morphology Ventricular fusion beats Comment: The escape rhythm originates from the distal left bundle
VEB Couplet
Report:Sinus tachycardia 126/min VEBs, one couplet Ventricular fusion Left bundle branch block Comment:To tell the truth, I reported only a single VEB here during my routine reporting; I kept the tracing as an example of a VEB narrower (perhaps throug
Sameness in the Same Lead
Report:Atrial fibrillation VEB (6th complex) Intraventricular conduction delay (unspecified) Comment:In all fairness, most of us would disregard the 6th beat if all there was to see was the rhythm strip and the strip was obtained during routine monitor
Atrial Flutter with 1:1 Conduction
Report:Atrial tachycardia (flutter) 202/min 2:1 block (top strip) 1:1 conduction (bottom strips) Rate-dependent left bundle branch block Comment: Note the exact doubling of the ventricular rate in the lower strips. From the rate alone, the rhythm w
Ventricular or Another Atrial Tachycardia?
Report: Ventricular tachycardia 178-180/min Comment: The tachycardia basic LBBB morphology with right axis deviation; the nadir of the S wave in V1 came after more than 0.06â. It looked like VT: RAD with LBBB has never been reported as aberrancy8. This
Another Irregular Monomorphic Ventricular Tachycardia
Report: Ventricular tachycardia 152/min Comment: Marked cycle length irregularity is uncommon in sustained monomorphic VT, especially at faster rates, except at the onset or termination of the paroxysm58. Nevertheless, slight variation in cycle length is
Two Wrongs Making Two Rights!
Report: Sinus tachycardia 110/min Left bundle branch block Left axis deviation Runs of ventricular tachycardia 150 - 160/min AV dissociation Ventricular fusion beats Comment: This is from Schamroth himself: two wrongs sometimes make a right60. The t
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
Tachycardia with Complete & Incomplete LBBB
Report:Atrial flutter with 2:1 AV block. Alternating complete & incomplete LBBB. Primary T wave changes. Comment:This is another form of bidirectional tachycardia. It is also an example of double 2:1 block: one in the AV node (for atrial flutter) and a