Remove 2012 Remove Exercise Remove Tachycardia
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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.

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Syncope while on a treadmill

Dr. Smith's ECG Blog

This strip was obtained: Apparent Wide Complex Tachycardia at a rate of 280 What do you think? Because the patient was exercising, which increases sympathetic tone, facilitating AV conduction. Troponins 34>33>43, likely secondary to myocardial injury from tachycardia. What do you want to do? Why such rapid AV conduction?

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ECG Blog #363 — How Many Directions?

Ken Grauer, MD

Typically — these arrhythmias are induced by exercise or intense emotional states ( ie, associated with increased catecholamine discharge ). As a result — ETT ( Exercise Treadmill Testing ) can be used to elicit BDVT, and therefore help to diagnosie CPVT. As a result — the resting ECG tends to be normal.

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