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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Implanted Cardioverter-Defibrillator
Report:Implanted cardioverter-defibrillator (ICD) readout 1 Ventricular tachycardia 152 – 162/min 4 Burst overdrive pacing 190-245/min 4 Sinus rhythm 95/min 1 Comment:The patient had numerous runs of VT which failed to activate the ICD because the ra
Fascicular VT in Anterior Infarction
Report:Ventricular (fascicular) tachycardia 103/min RBBB/LAHB morphology Acute anterior infarction Comment:It is possible that the tachycardia is junctional, with aberrancy, except that lead 1 does not look right for RBBB, with or without LAHB; also, i
Frequent, Multiform, R-on-T VEBs in Acute MI
Report:Atrial fibrillation Possible run of accelerated junctional rhythm 75/min (first four beats) VEBs, dimorphic couplet, R-on-T phenomenon Acute anterolateral infarction Probable old inferior infarction Comment:There is obvious ST segment elevati
Inferior MI Reperfusion â Fascicular VT
Report:Ventricular tachycardia 156/min/min Probable inferior infarction Comment:The rhythm was sufficiently irregular for the computer to classify it as AF with borderline IVCD. It becomes more regular, however, just after the middle of the trace and en
Sotalol Arrhythmias
Report: Sinus rhythm Borderline first degree AV block PR 0.20â VEBs, frequent Runs (3-beat, 5-beat) of multiform ventricular tachycardia Incomplete LBBB Prolonged QT interval Comment: The patientâs torsades (Fig 130a) were treated by MgSO4, the
Sudden Death During Holter Monitoring
Report: Supraventricular and ventricular bigeminy Prolonged QT interval (0.64â) Multiform, probably torsade de pointes, ventricular tachycardia Comment: This patient was on digoxin and quinidine. The final (and fatal) paroxysm is initiated by a late
Agonal Rhythm
Report: Atrial standstill VEBs (ventricular escape beats) Ventricular tachycardia 110/min Comment: Despite its irregular rate, the broad complex tachycardia is unlikely to represent ventricular response to atrial fibrillation. The agonal rhythm is usua
Torsade de Pointes
Report: Sinus tachycardia 104/min First degree AV block (PR 0.25â) Borderline QTc prolongation (0.38â) VEBs, multiform Dimorphic couplet (beginning of bottom strip) Run of multiform ventricular tachycardia, probably torsade de pointes Comment: T
Cerebral Mimicry of MI
Report: Sinus tachycardia 127/min Right atrial abnormality VEB Acute inferolateral (or, better, inferior + anterior) myocardial infarction Prolonged QT interval Comment: The last item, QT prolongation, is the only clue that this is not an ordinary my
Hypomagnesæmia Torsades
Report:Sinus rhythm 51/min Prolonged QT interval 0.56â QTc 0.52â Comment:The patient had several admissions with alcohol-related illnesses, all of which featured hypokalæmia, hypomagnesæmia or both, with corresponding repolarisation abnormalities