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As discussed in ECG Blog #108 — AIVR generally occurs in one of the following C linical S ettings : i ) As a rhythm during cardiacarrest; ii ) In the monitoring phase of acute MI ( especially with inferior MI ) ; or , iii ) As a reperfusion arrhythmia ( ie, following thrombolysis, acute angioplasty, or spontaneous reperfusion ).
The ECG in Figure-1 was obtained from an 18-year old woman — who moments before been resuscitated from out-of-hospital cardiacarrest. Does this ECG in Figure-1 provide clue(s) to the etiology of this patient's cardiacarrest? I suspected the answer resides in the reason why an 18-year woman might have a cardiacarrest.
What is the utility of a head CT in cardiacarrest? We studied this and published the abstract below in 2010. We found intracranial hemorrhage in 2% of non-traumatic cardiacarrest patients, and in 4 others the presence of cerebral edema changed management. Chicago November 2010. Kurkciyan et al.
Study design We performed a retrospective evaluation of pregnant patients with high-risk CVD who delivered in the main OR at a large academic centre between January 2010 and March 2021. Results Of 25 deliveries, connective tissue disease (n=9, 36%) was the most common CVD type, followed by non-ischaemic cardiomyopathy (n=5, 20%).
Heart Rhythm 2010 Hudzik B, Gasior M. The relationship between J wave and ventricular tachycardia during Takotsubo cardiomyopathy. The final letter in the SLOWED mnemonic is " D " for "Dead" ( resulting from VT/VF or asystolic cardiacarrest ). Indian Pacing Electrophysiol J 2004 Antzelevitch C, Yan G. J wave syndromes.
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