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Prognostic benefits of His?Purkinje capture in physiological pacemakers for bradycardia

Journal of Cardiovascular Electrophysiology

Methods Consecutive patients with bradycardia indicated for pacing from 2016 to 2022 were prospectively followed for the clinical endpoints of heart failure (HF)-hospitalizations and all-cause mortality at 2 years. CSP should be preferred over VSP or RVP during pacing for bradycardia.

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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

2016, April 13). Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). RBBB in blunt chest trauma seems to be indicative of several RV injury. Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). References Alborzi, Z., Zangouri, V., Ghahramani, Z.,

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QT Correction Formulas Compared to The Rule of Thumb ("Half the RR")

Dr. Smith's ECG Blog

The rule of thumb is less accurate, and the risk is higher because a long QT in the presence of bradycardia ("pause dependent" Torsades) predisposes to Torsades. 6) Use a different rule of thumb for bradycardia : Manually approximate both the QT and the RR interval. Heart Rhythm 2016 Feb; 13(2):527-35. Measure it manually.

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Syncope and Block

EMS 12-Lead

plaque disruption), the T waves still manifest markings of a previous state of suboptimal coronary flow that resolved: Type II supply-demand mismatch in the setting of extreme bradycardia. 2] Although the clinical context in today’s case does not fit these descriptors for Type I OMI (e.g. Phase IV block, or concealed transeptal conduction).

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

References: [1]: Mizusawa Y, Morita H, Adler A, Havakuk O, Thollet A, Maury P, Wang DW, Hong K, Gandjbakhch E, Sacher F, Hu D, Amin AS, Lahrouchi N, Tan HL, Antzelevitch C, Probst V, Viskin S, Wilde AA. Prognostic significance of fever-induced Brugada syndrome. Heart Rhythm, 13(7): 1515-1520. [2]:

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Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L?

Dr. Smith's ECG Blog

Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). But because of the much greater electrical mass of the LV — electrical activity ( and therefore ECG abnormalities ) from the much smaller and thinner RV are more difficult to detect.

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75 year old with 24 hours of chest pain, STEMI negative

Dr. Smith's ECG Blog

There’s sinus bradycardia, normal conduction, normal axis, delayed R wave progression, and normal voltages. The patient has a history of CABG so some of these changes could be old, but with ongoing chest pain and bradycardia in a high risk patient this is still acute OMI until proven otherwise. Sinus bradycardia.” Busk et al.