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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
RVH in COAD
Report: Atrial fibrillation, mean ventricular rate 85/min Right axis deviation + 130o qRV1, probable right ventricular hypertrophy Nonspecific ST/T changes Comment: RVH is seldom expressed as dominant R wave in V1 in COAD; the commonest change is RAD
Pulmonary Embolism: McGinn-White Pattern
Report: Sinus rhythm 90/min Right axis deviation +110o S1Q3T3 (McGinn-White) pattern consistent with acute cor pulmonale qR V1 and anteroseptal ST/T changes consistent with right ventricular "strain" Comment: The q in V1 may be a sign of right atrial
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
Runs of Ventricular Tachycardia
Report:Sinus rhythm 85/min VEBs, couplets Runs of ventricular tachycardia 164/min Left atrial abnormality (LAA) Left bundle branch block V2-V3 lead reversal Comment:The patient had many brief runs of VT, always introduced by the qR VEB couplets. The
QrV1 Fascicular Tachycardia
Report:Ventricular tachycardia 180/min Comment:The QRS is only 0.10â long, qualifying this as a fascicular VT. Its ventricular source is easily detected in V1, where the broad Q wave slopes obligingly over the requisite 0.06â to its nadir. The gracil
VT: Dressler Beat
Report:Ventricular tachycardia 188/min Termination by ventricular fusion beat (Dressler beat) Sinus tachycardia 120/min Probable inferior infarction Comment:The rhythm strip is not taken simultaneously with the three channels above. This has the advan