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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
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
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)
Long QT Interval Post-VF
Report:Sinus rhythm 65/min Right axis deviation +100o Late transition Long QT interval 0.54â QTc 0.56â Nonspecific ST/T changes Comment:She died from cerebral sequelae of her VF arrest; it is reasonable to ascribe the QT prolongation to cerebral
Sotalol Overdose
Report:Sinus rhythm 62/min 2:1 AV block Ventriculophasic sinus arrhythmia Prolonged QT interval 0.58â QTc 0.58â Comment:The blocked alternate P waves are not very obvious, superimposed on prolonged, themselves rather wavy, T waves. Also, alternat
Large Rabbit Ears and Prominent A-V Dissociation with Positive Concordant Precordial Pattern
Report: Sinus rhythm 82/min Ventricular tachycardia 158/min Complete A-V dissociation Left atrial abnormality (LAA) Comment:This title contains three major features of ectopic ventricular tachycardia and is well suited to teaching beginners in electro
Runs of Anomalous Conduction
Report :WPW syndrome Atrial fibrillation Runs of anomalous conduction (Wolff-Parkinson-White type âAâ) Borderline small voltage and T wave changes in frontal leads Comment :Syndrome, rather than mere conduction, because of the arrhythmia. The p
Sotalol Sensitivity
Report:Atrial ?junctional bradycardia 42/min VEB Long QTc 0.54â Comment:The first beat is distorted by movement artefact: its repolarisation in L1 and L3 and preserved QRS shape in simultaneous L2 distinguish it from a VEB. The striking abnormality
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
Alternate Cycle Antecedent P Waves
Report:Ventricular tachycardia 125/min Probable 2:1 retrograde conduction Comment:The diagnosis of VT is supported by the QRS duration of 0.18â, the indeterminate abnormal axis and the left rabbit ear in V1 being taller than the right. The relativel
Arrhythmogenic Right Ventricular Dysplasia
Report: Ventricular tachycardia 162/min Comment: The patient had dilated right atrium and ventricle, with normal, mildly hypertrophied left ventricle. The coronary arteries were also normal. In Casualty, adenosine 6 + 12 mg, verapamil 2.5 mg, then sotalo