Dr. Smith's ECG Blog
JUNE 2, 2023
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. What is the Diagnosis?
Dr. Smith's ECG Blog
SEPTEMBER 18, 2024
This strip was obtained: Apparent Wide Complex Tachycardia at a rate of 280 What do you think? Troponins 34>33>43, likely secondary to myocardial injury from tachycardia. Sinus tachycardia does not go this fast. A 60-something ow healthy male had syncope while on treadmill. What do you want to do?
Open Heart
APRIL 20, 2022
Methods Patients were retrospectively evaluated between January 2012 and June 2020. Objectives To describe a cohort of patients with arrhythmogenic left ventricular cardiomyopathy (ALVC), focusing on the spectrum of the clinical presentations. Significant right ventricular involvement was an exclusion criterion.
Dr. Smith's ECG Blog
SEPTEMBER 2, 2024
There is a run of polymorphic ventricular tachycardia — which given the QT prolongation, qualifies as Torsades de Points ( TdP ). This patient was having recurrent episodes of polymorphic ventricular tachycardia with an underlying long QT interval ( = Torsades des Pointes ). ECG #2 Interpretation of ECG #2: Underlying sinus rhythm.
All About Cardiovascular System and Disorders
NOVEMBER 16, 2023
In that study commonest ECG abnormalites were QTc prolongation followed by brady/tachycardia and then ST segment deviations [3]. 2012 Dec;7(4):290-4. 2012 Dec;7(4):290-4. But the number of persons with lobar hemorrhage in that study was only 17%. Lead electrocardiogram changes after supratentorial intracerebral hemorrhage.
Dr. Smith's ECG Blog
FEBRUARY 16, 2020
Here was the ECG: There is sinus tachycardia. 109 (20):361-368, 2012 — CLICK HERE ). This was sent by a reader. A previously healthy 53 yo woman was transferred to a receiving hospital in cardiogenic shock. and K was normal. This is "Shark Fin" morphology. C ) ; and , ii ) She tested positive for influenza.
Dr. Smith's ECG Blog
OCTOBER 8, 2023
I completely agree with Dr. Nossen that in this patient with new CP and sinus tachycardia with LAHB — that the T waves in each of the inferior leads are hyperacute ( ie, clearly disproportionately "bulky" given size of the QRS in these leads ). — and which other patient(s) need to be seen as soon as possible to figure out what is going on?
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