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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)
Sudden Death During Holter Monitoring
Report: Supraventricular and ventricular bigeminy Prolonged QT interval (0.64â) Multiform, probably torsade de pointes, ventricular tachycardia Comment: This patient was on digoxin and quinidine. The final (and fatal) paroxysm is initiated by a late
Agonal Twist
Report: Sinus tachycardia 157/min (top) Progressive intraventricular conduction delay, RBBB type Torsade de pointes ventricular tachycardia 150 - 175/min (bottom) Comment: The designation of this as torsade de pointes is, perhaps, twisting the point a
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
Hypomagnesæmia Torsades
Report:Sinus rhythm 51/min Prolonged QT interval 0.56â QTc 0.52â Comment:The patient had several admissions with alcohol-related illnesses, all of which featured hypokalæmia, hypomagnesæmia or both, with corresponding repolarisation abnormalities
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
Erythromycin Torsade de Pointes
Report:Sinus tachycardia 122/min Nonspecific T wave changes Prolonged QT interval Comment:This is one of those tracing where inspection is better than attempts at precise measurement and QTc calculation: there is a clear-cut long ST segment and the T w
Congenital Heart Block with Long QT Interval
Report: Sinus rhythm 100 - 110/min Third degree AV block Junctional escape rhythm 48/min VEB SVEB Prolonged QT interval 0.60â QTc 0.53â Comment: This case has been reported73. While it is not possible to exclude post-syncopal QT prolongation i
Congenital Heart Block with Long QT Interval
Report: Sinus rhythm 100 - 110/min Third degree AV block Junctional escape rhythm 48/min VEB SVEB Prolonged QT interval 0.60â QTc 0.53â Comment: This case has been reported73. While it is not possible to exclude post-syncopal QT prolongation i
Thioridazine Overdose
Report:Junctional/sinus rhythm VEB, dimorphic couplet Non-sustained ventricular tachycardia (torsade de pointes) Comment:The torsades were very frequent, but the 12-lead ECG did not catch the best of them. Nevertheless, the one shown here is reasonably