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?

Atrial Flutter 64

Atrial Flutter Exercise AFIB Tachycardia 64

European Journal of Heart Failure

NOVEMBER 3, 2023

Among 475 patients with cardiac sarcoidosis, 119 (25.1%) were isolated cardiac sarcoidosis (iCS) based on the 2016 Japanese Circulation Society criteria. iCS was diagnosed according to the 2016 Japanese Circulation Society (JCS) guidelines.

Atrial Fibrillation 40

Atrial Fibrillation Heart Failure Tachycardia Arrhythmia 40

Journal of Cardiovascular Electrophysiology

FEBRUARY 10, 2025

Methods This observational study assessed single-chamber ICD recipients implanted from 2006 to 2016 from Boston Scientific's ALTITUDE database and linked to the NCDR ICD Registry. We sought to determine predictors of RV pacing in patients who did not have a pacing indication at the time of initial ICD implant.

Defibrillator 40

Defibrillator Cardiac Arrest Tachycardia Hypertension 40

Dr. Smith's ECG Blog

APRIL 30, 2024

Here is the only prehospital 12-lead: Sinus tachycardia, somewhat wide QRS, Ischemia Here is the first ED ECG: What is the rhythm here? Medics found patient in PEA arrest. He was resuscitated into a perfusing rhythm. He went in and out of arrest until arrival at the ED.

Blog 107

Blog Ischemia Tachycardia Arrhythmia 107

All About Cardiovascular System and Disorders

APRIL 13, 2024

ECG in a person with persistent anginal pain for the past several hours showing significant ST segment depression anterolateral leads along with sinus tachycardia. 2016 Sep;68 Suppl 2(Suppl 2):S226-S227. 2016; 6:49-51. ST segment elevation is noted in aVR. Clinical evaluation and X-Ray chest showed features of pulmonary edema.

Stenosis 52

Stenosis Coronary Artery Bypass Graft Coronary Artery Disease Document 52

Dr. Smith's ECG Blog

JULY 27, 2023

His prehospital ECG showed "inferior" ST depression and high voltage, with tachycardia. I suspected no OMI, that this could be due to LVH plus tachycardia. Conclusion: Type II MI probable due to hypoxia and tachycardia from resp arrest and amphetamine use. On arrival to the ED, the patient was diaphoretic, tachycardic.

Tachycardia 52

Tachycardia Ischemia Cardiac Arrest Echocardiogram 52

BoardVitals - Cardiovascular

JANUARY 18, 2021

Other trials that evaluated this subject were the WOEST trial (2013), Pioneer AF-PCI trial (2016), and ISAR-TRIPLE (2015). His exam was notable for tachycardia, elevated jugular venous pressure, diffuse rales, and an early 2/6 systolic murmur loudest at the cardiac apex. These are the main aspects of the findings related to this trial.

Bicuspid/Mitral 52

Bicuspid/Mitral Atrial Fibrillation Chest Pain STEMI 52

Dr. Smith's ECG Blog

FEBRUARY 28, 2020

Tachycardia (or nearly) 2. Tachycardia, = 1.8. Finally , they found these independent predictors of PE: Note that tachycardia only has an Odds ratio of 1.8. Tachycardia is unusual in ACS unless there is cardiogenic shock or a second simultaneous pathology. Some providers were worried about ACS because of this ECG.

Chest Pain 52

Chest Pain Pulmonary Tachycardia Embolism 52

All About Cardiovascular System and Disorders

OCTOBER 26, 2023

Shanghai Score was arrived at in a consensus conference held in 2016. 2016 Oct;13(10):e295-324. Spontaneous type 1 ECG has the highest number of points at 3.5, while fever-induced type 1 ECG has 3 points. Type 2/3 ECG which gets converted to type 1 pattern with sodium channel blockers have 2 points. Heart Rhythm. J Am Coll Cardiol.

Sudden Cardiac Death 52

Sudden Cardiac Death Atrial Fibrillation Electrophysiology Arrhythmia 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

Otherwise vitals after intubation were only notable for tachycardia. An initial EKG was obtained: Computer read: sinus tachycardia, early acute anterior infarct. She was ventilated by bag-valve-mask by EMS on arrival and was quickly intubated with etomidate and succinylcholine. A rectal temperature was obtained which read 107.9

Heart Rhythm 52

Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI 52

Dr. Smith's ECG Blog

NOVEMBER 24, 2017

Answer : you must treat the patient's underlying condition causing sinus tachycardia, and repeat the ECG at the lower heart rate. Optimal QT interval correction formula in sinus tachycardia for identifying cardiovacular and mortality risk: Findings from the Penn Atrial Fibrillation Free study. Heart Rhythm 2016 Feb; 13(2):527-35.

Bradycardia 52

Bradycardia Article Atrial Fibrillation Chest Pain 52

Dr. Smith's ECG Blog

NOVEMBER 25, 2022

Sinus Tachycardia ( common in any trauma patient. ).

Arrhythmia 52

Arrhythmia Blog Chest Pain Cardiac Arrest 52

Dr. Smith's ECG Blog

MARCH 6, 2020

Here was his ED ECG: There is sinus tachycardia (rate about 114) with nonspecific ST-T abnormalities. An ECG was recorded: This shows a regular narrow complex tachycardia at a rate of about 160. See my quick review of atrial tachycardia below) The tachycardia spontaneously resolved. BP:143/99, Pulse 109, Temp 37.2 °C

Heart Failure 52

Heart Failure Tachycardia Atrial Flutter Cardiomyopathy 52

Journal of the American Heart Association

FEBRUARY 19, 2025

had ventricular tachycardia/ventricular fibrillation and 73.4% The primary outcome was inhospital mortality. Multivariable logistic regression analysis was used to adjust for potential confounders. Among 207 770 patients with IHCA, 26.6% had pulseless electrical activity/asystole.

Cardiac Arrest 45

Cardiac Arrest Coronary Artery Bypass Graft Outcomes Tachycardia 45

Frontiers in Cardiovascular Medicine

DECEMBER 18, 2024

However, the effects of sacubitril/valsartan on these outcomes, as well as on ventricular tachyarrhythmias, have not been well studied in women with HFrEF.MethodsThis study included consecutive series of patients treated with sacubitril/valsartan at University Hospital Mannheim from 2016 to 2020. vs. 0.6%; p=0.121) (2.3% vs. 10.1%; p=0.762).

Heart Failure 40

Heart Failure Outcomes Hospital Tachycardia 40

Dr. Smith's ECG Blog

DECEMBER 5, 2019

There is sinus tachycardia and also a large R-wave in aVR. Drug toxicity , especially diphenhydramine , which has sodium channel blocking effects, and also anticholinergic effects which may result in sinus tachycardia, hyperthermia, delirium, and dry skin. 2016) in the presence of spontaneous BrS ECG or drug-induced ECG.

Sudden Cardiac Death 52

Sudden Cardiac Death Heart Rhythm Article Tachycardia 52

Dr. Smith's ECG Blog

APRIL 8, 2015

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. Most physicians will automatically be worried about these symptoms. The tracings were considered abnormal in the following cases: 1.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

Open Heart

JULY 6, 2022

Methods and results In this nationwide cohort study, all patients diagnosed with cLQTS in Denmark between 1996 and 2016 aged 18–60 years at diagnosis were identified using nationwide registries. to 249.9); ventricular tachycardia/syncope OR 10.9 (95% Patients attached to the workforce at diagnosis were included. 95% CI, 1.7

Congenital 52

Congenital Cardiac Arrest Tachycardia 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2025

During observation in the ED the patient had multiple self-terminating runs of Non-Sustained monomorphic Ventricular Tachycardia (NSVT). This patient very likely has some form of idiopathic ventricular tachycardia. Of the ventricular outflow tract tachycardias (RVOT-VT) makes up 80-90%.

Tachycardia 72

Tachycardia Arrhythmia Ablation Atrial Flutter 72

Dr. Smith's ECG Blog

DECEMBER 16, 2024

As noted above the presence of acute target organ damage in today's case ( ie, acute MI ) in association with marked sustained hypertension ( this patient's BP at times exceeding 200 mm Hg systolic and >110 mm Hg diastolic ) qualifies her as a true hypertensive emergency ( Janke et al JAHA 5(12); 2016 and Cardiology Advisor Feb.

Chest Pain 105

Chest Pain STEMI Aortic Ultrasound 105