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Objectives Examine the association between arrhythmias and adverse maternal outcomes in women with structurally normal hearts. Methods This was a case–control study of women admitted in labour to one of eight hospitals of Northwell Health from January 2015 to June 2021. Arrhythmia was previously diagnosed in 58.0%
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?
The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia. 2015, March 1). The Initial ECG in Today's Case: As per Dr. Meyers — the initial ECG in today's case shows sinus tachycardia with bifascicular block ( = RBBB/LAHB ). Sinus Tachycardia ( common in any trauma patient. ).
It's a very "fun" ECG, with initial ectopic atrial tachycardia (negative P waves in inferior leads conducting 1:1 with the QRSs), followed by spontaneous resolution to sinus rhythm. What About the Tachycardia? Today's regular SVT rhythm could be an ectopic atrial tachycardia ( ATach ) — or an automatic junctional tachycardia.
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?
Chagas disease (ChD) was associated with increased rates of ventricular tachycardia and ventricular fibrillation in ICD patients only in the initial two periods, but there was no statistical difference in the last period. Time periods were chosen based on the establishment of the Arrhythmia Service in 2011.
myocardial infarction), arrhythmias, valvular pathology, shunts, or outflow obstructions. 2015 Oct; 66(4):355-362. Hypotension may of course be a result of a brady- or tachydysrhythmia. 2) Hypoxia, including poisons of oxidative phosphorylation such as HS, CO, CN. Annals of Emergency Medicine. De Backer D et al. Folland ED, et al.
If the patient has Abnormal Vital Signs (fever, hypotension, tachycardia, or tachypnea, or hypoxemia), then these are the primary issue to address, as there is ongoing pathology which must be identified. The most recent and probably best study is this: Canadian Syncope Arrhythmia Risk Score. Vasovagal syncope is generally benign.
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