Search the collection
Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Beginning of an Endless Loop
Report: Sinus rhythm 79/min 1 VEB 1 Ventricular escape beat, preceded by attempt at atrial pacemaker escape 1 VEBs, dimorphic couplet 1 Retrograde conduction 2 Retrograde P sensing and generating pacemaker tachycardia 103/min 4 Comment: The retrogra
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
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
Two for the Price of One
Report: Sinus rhythm 80/min (top) & 91/min (bottom) VEBs, two couplets Fully compensatory pauses (top) Comment: Depending on the sinus rate and the timing of the VEBs, a couplet may replace one or two sinus beats; usually it replaces two, as in the bot
Double Coupling of VEB Couplets
Report: Sinus arrhythmia 85 â 109/min Frequent VEBs Accelerated idioventricular rhythm (AIVR) approx. 65/min Comment: The VEBs come in two morphologies, the tall and the stubby, in the L2 rhythm strip. The tall ones are premature, with a fixed coupli
Dimorphic (Alternating) Ventricular Tachycardia
Report:Ventricular tachycardia 182/min Comment:The rhythm is slightly irregular and, at least in V1, there are two, possibly three, different morphologies; this is, by itself, would be evidence for ventricular ectopic origin. More likely, however, judgin