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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Unread Pre-Discharge ECG
Report: Sinus rhythm 58/min Left axis deviation - 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 0.45â)
Left Axis Deviation in LBBB Conduction
Report:Sinus rhythm 72/min Borderline left atrial abnormality (LAA) Left bundle branch block Comment:In LBBB conduction the axis is derived from the entire QRS complex (unlike the situation with normal or RBBB conduction, where only the initial 0.06â
PAT with Block: LBBB RSR' in V1
Report:Atrial tachycardia 216/min with 2:1 block. LBBB. Comment:The only indisputable part of the computer and the Cardiologistâs reports is tachycardia. The tachycardia could not be sinus tachycardia even if there was a 1:1 conduction: the morpholog
Right, Left, then Right Bundle Branch Block
Report:Sinus tachycardia 140/min Second degree AV block First degree AV block in conducted beats PR 0.30â SVEBs, blocked (causing the pauses) Left bundle branch block Primary repolarisation changes c/c infarction/ischæmia Comment:This is an obvi
Fascicular Ventricular Tachycardia & Positive Concordant Precordial Pattern
Report:Ventricular tachycardia 198/min Comment:Fascicular ventricular tachycardia12,13 is distinguished by the relatively narrow QRS width and marked axis deviation in the frontal plane; in this case the QRS lasts just under 0.12â, less than in sinus r
Fascicular Ventricular Tachycardia
Report:Ventricular tachycardia 141/min Comment:The complexes are between 0.10 and 0.12â in duration (even narrower than in Case 11), with left axis deviation â40o. The morphology is that of incomplete LBBB except for the all-important lead V1, where
Fast Ventricular Tachycardia with Visible AV Dissociation
Report: Ventricular tachycardia 214/min AV dissociation Comment: The morphology is somewhat equivocal, V1 showing RRâ complexes with right rabbit ear taller than the left; nevertheless, they are essentially monophasic and over 0.14â, favouring ectop
LBBB-like Ventricular Tachycardia
Report: Ventricular tachycardia 168/min Comment: Some would say that the precordial pattern is that of negative concordance. A purist would point out that there are small R waves in V2 or V6; the complexes are not all completely negative. This fortunatel
Left Bundle Branch Block-Like Ventricular Tachycardia
Report:Ventricular tachycardia 196/min[! XE !] Comment:This is a rapid VT with morphology quite similar to LBBB. The QRS duration is about 0.16â, best measured in the inferior leads. However, in V1, normally the most important diagnostic lead, it looks
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