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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
LBBB with Transient Right Axis Deviation: Ischæmic Cardiomyopathy
Report: Sinus rhythm Right axis deviation (RAD) + 140o Left bundle branch block Comment: The unusual combination of LBBB and RAD is a surprisingly specific marker of congestive cardiomyopathy29. This patient had CABG following an inferolateral MI; subs
VT or VF?
Report: Supraventricular rhythm, probably sinus with SVEBs R-on-T VEBs Ventricular fibrillation Comment: It is sometimes quite difficult to determine if a very fast ventricular rhythm is multiform VT, perhaps torsades de pointes, of VF. This trace was
VT: R in V1: Sharp Upstroke and Slurred Descent
Report:Ventricular tachycardia 186/min Comment:The qR in V1 (and V2) has a sharp ascent and slower descent, an equivalent of the rabbit-ear sign of VT112. In the frontal plane, the QRS axis is in no-manâs land at about +260o. There is little reason to
Poor Manâs Exercise Test
Report: Sinus rhythm VEBs, multiform, some interpolated Post-ectopic repolarisation changes ST segment depression Post-ectopic depolarisation changes Rate-dependent right bundle branch block Comment: The presence of intermittent RBBB somewhat sp
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
Unread Pre-Discharge ECG
Report: Sinus rhythm 58/min Left axis deviation (LAD) - 50o Intraventricular conduction defect (IVCD) Probably LAHB + non-specific conduction delay Possible LVH Giant anteroseptal T wave inversion Prolonged QT interval 0.660â (QTc for 58/min 0.45