2010 Chest Pain Tachycardia 
Dr. Smith's ECG Blog
FEBRUARY 8, 2015
They had already cardioverted at 120 J, then 200 J, which resulted in the following: Ventricular Tachycardia They then cardioverted at 200 J which r esulted in the same narrow complex rhythm shown above, at 185 beats per minute. This would treat both SVT or sinus tachycardia. I suggested esmolol if the heart rate did not improve.
Dr. Smith's ECG Blog
MAY 19, 2022
Written by Pendell Meyers, edits by Smith and Grauer A man in his late 20s with history of asthma presented to the ED with a transient episode of chest pain and shortness of breath after finishing a 4-mile run. His symptoms of chest pain and shortness of breath were attributed to an asthma exacerbation during exercise.
Ken Grauer, MD
MAY 28, 2024
Please N OTE: I divided my comments into 2 "parts" regarding the use of comparison tracings: i ) Comparison of one 12-lead ECG with another ( ie, including use of serial ECGs in a patient with chest pain — and how BEST to use a prior "baseline" tracing ) ; — and — ii ) Optimal use of comparison tracing with cardiac arrhythmias!
Ken Grauer, MD
APRIL 9, 2023
No chest pain. Figure-1: The initial ECG in today's case — obtained from an 86-year old man with presyncope, but no chest pain. ( Riera ARP, et al: AIVR: Chronology and Main Discoveries : Indian Pacing and EP Journal 10: 40-48, 2010. Th e patient was hemodynamically stable in association with this rhythm.
Dr. Smith's ECG Blog
JULY 24, 2024
22:25 — What if you have a regular SVT ( = narrow-complex tachycardia ) without obvious P waves? ( 12:15 — Regarding my experience from the 1980s until ~2010: How I went from hating computer interpretations to loving them ( after I finally understood what the computer can and can not do ). The 4 common causes? —
Dr. Smith's ECG Blog
JUNE 2, 2023
She denied chest pain and denied feeling any palpitations, even during her triage ECG: What do you think? She was awake, alert, well perfused, with normal mental status and overall unremarkable physical exam except for a regular tachycardia, possible rales at both bases, some mild RUQ abdominal tenderness.
Dr. Smith's ECG Blog
NOVEMBER 24, 2017
Answer : you must treat the patient's underlying condition causing sinus tachycardia, and repeat the ECG at the lower heart rate. JACC 55(9):934-947; 2010 ]. Optimal QT interval correction formula in sinus tachycardia for identifying cardiovacular and mortality risk: Findings from the Penn Atrial Fibrillation Free study.
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