Remove 2010 Remove Exercise Remove Tachycardia
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Chest pain, shortness of breath, T wave inversion, and rising troponin in a young healthy runner.

Dr. Smith's ECG Blog

Exercise test would also have been reasonable. His symptoms of chest pain and shortness of breath were attributed to an asthma exacerbation during exercise. Read about "exercise induced cardiac troponin elevations" here. Potential Adverse Cardiovascular Effects From Excessive Endurance Exercise Exercise Is Medicine?

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A young lady with wide complex tachycardia. My first time actually making this diagnosis de novo in real life in the ED!

Dr. Smith's ECG Blog

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. Thus, I believe it is a regular, monomorphic, wide complex tachycardia. Or it could simply still be classic VT. RVEF 100 ml/m2.