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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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, VEBs & Persistent Wenckebach
Report:Sinus tachycardia 104/min VEBs, frequent, multiform Second degree AV block, Möbitz 1 (Wenckebach) Late transition Nonspecific intraventricular conduction delay (IVCD) Acute inferior infarction Anterolateral ST/T changes c/w MI/ischæmia Co
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
Concealed Extrasystoles & Pseudoblock
Report:Multifocal atrial rhythm VEBs, multiform Fusion beat Second degree AV block, probable pseudoblock Comment:This would have been a multifocal atrial tachycardia (MAT) if the rate was over 100/min. AV block is uncommon in MAT and should be even le
Concealed Extrasystoles & Pseudoblock
Report:Multifocal atrial rhythm VEBs, multiform Fusion beat Second degree AV block, probable pseudoblock Comment:This would have been a multifocal atrial tachycardia (MAT) if the rate was over 100/min. AV block is uncommon in MAT and should be even le
Multiform & Monomorphic Ventricular Tachycardia
Report: Multiform ventricular tachycardia 180-210/min Comment: The tachycardia becomes (or looks) uniform in some leads, as is often the case in both torsades de pointes and other types of multiform ventricular tachycardia. It starts with what Marriott a
Iatrogenous Pheochromocytoma
Report:Sinus tachycardia 148 -160/min VEBs Frequent Multiform Bigeminal Couplets Run of 4 (VT) Comment:The almost six fold rise in the systolic BP was a surprise. Once the patient survived the effects of the generous dose of adrenaline (a dose norm
Ventricular Tachycardia
Report: Atrial tachycardia 130/min First degree AV block Second degree AV block Shifting pacemaker (bottom) VEBs, multiform Ventricular tachycardia 260/min (top) Spontaneous termination Multiform ventricular tachycardia 310/min Ventricular fibrill
Multiform Bigeminal VEBs: Digoxin Toxicity
Report: Atrial fibrillation VEBs, bigeminal, multiform Nonspecific ST/T changes Comment: Multiform bigeminy is quite characteristic of digoxin toxicity. The VEBs are relatively narrow and may be of fascicular origin. The last 6 beats are all ventricula
Non-Sustained Multiform Ventricular Tachycardia
Report: Atrial fibrillation with rapid response Intraventricular conduction delay (IVCD), probably left bundle branch block Two runs of multiform ventricular tachycardia, approx. 250/min Sinus rhythm, SVEBs and runs of atrial tachycardia (bottom strip)