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New lessons, from the old chapters of Atrial fibrillation

Dr. S. Venkatesan MD

2012 Apr 4;4(6):483.) 2012 Oct 6;5(3):647. The systemic player is the derangement of lipid metabolism as in obesity.Also, it is worth emphasizing ,the adverse effects of sub- epicardial fat is not confined to ventricle.( Al Chekakie MO, Akar JG. Epicardial Fat and Atrial Fibrillation: A Review. J Atr Fibrillation. 2010 Jun;3(3):230-6.

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Normal angiogram one week prior. Must be myocarditis then?

Dr. Smith's ECG Blog

Uncontrolled coronary spasm may be associated with serious arrhythmias , including cardiac arrest ( Looi et al — Postgrad Med, 2012 ; Tan et al — Eur Heart J Case Rep, 2018 ; Chevalier et al — JACC, 1998 ; Rodriguez-Manero — EP Europace, 2018 ). Initial high sensitivity troponin I returned at 6ng/L (normal 0.20

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ECG #413 — A Pre-Op ECG in an ASx Patient

Ken Grauer, MD

Looking first at the long-lead II rhythm strip — there is significant bradycardia , with a heart R ate just under 40/minute. But the point to emphasize — is that it should only take seconds to recognize that there is bradycardia from significant AV block. = Would you approve her for a nonemergent surgical procedure?

Blog 95
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What is athlete’s heart?

All About Cardiovascular System and Disorders

Athlete’s bradycardia due to increased parasympathetic tone and decreased sympathetic tone is a well-known observation. Though sinus bradycardia is usual, other abnormalities like sinus arrhythmia, sinus arrest, wandering atrial pacemaker and coronary sinus rhythm have been described. 2012 Jun;98(12):947-55. References 1.Prior

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Assessment of LV Diastolic Function by Echo in SR and AF

All About Cardiovascular System and Disorders

Use of drugs producing bradycardia like beta blockers in stages III and IV may precipitate low output state. 2012; 126: 138-141. In stage IV, this restrictive filling pattern remains fixed even during Valsalva maneuver. Initial stages (I to III) are considered reversible with treatment. Stage IV is considered as advanced. Circulation.

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Unconscious + STEMI criteria: activate the cath lab?

Dr. Smith's ECG Blog

This ECG shows a sinus bradycardia with a normal conduction pattern (normal PR, normal QRS, and normal QTc), normal axis, normal R-wave progression, normal voltages. Hypothermia can also produce bradycardia and J waves, with a pseudo-STEMI pattern. There is marked sinus bradycardia. What do you think? As per Drs.

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Should we activate the cath lab? A Quiz on 5 Cases.

Dr. Smith's ECG Blog

The rhythm is uncertain ( ie, We only see 4 beats — because the same 4 beats are repeated in limb and chest leads — but in lead II there appears to be sinus bradycardia and arrhythmia plus a P wave with a PR interval too short to conduct preceding beat #1 — therefore need for a longer period of monitoring ).

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