2009, Dysrhythmia and Tachycardia - Cardiovascular Update

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2009

Dysrhythmia

Tachycardia

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Smith comment: In a large randomized trial of dopamine vs. norepinephrine (11) for shock which was published after the above-mentioned recommendations, dopamine had more adverse events (especially severe dysrhythmias, and especially atrial fibrillation). NEJM 362(9):779; March 4, 2009. NEJM 362(9):779; March 4, 2009.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

APRIL 8, 2015

If the patient has Abnormal Vital Signs (fever, hypotension, tachycardia, or tachypnea, or hypoxemia), then these are the primary issue to address, as there is ongoing pathology which must be identified. Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients Arch Intern Med 2009 Jul 27; 169:1299-1305. Sivilotti, M.,

Arrhythmia

Arrhythmia Outcomes Risk Factors Chest Pain

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

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