Remove 2019 Remove Coronary Angiogram Remove Tachycardia
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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

Finally, do a coronary angiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. Even with tachycardia and a paced QRS duration of ~0.16 2 Quick Approximations that I Use: As I discuss in My Comment in the March 19, 2019 post in Dr. Even with tachycardia and a paced QRS duration of ~0.16

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A man in his late 30s with acute chest pain and ST elevation

Dr. Smith's ECG Blog

Sent by Dan Singer MD, written by Meyers, edits by Smith A man in his late 30s presented with acute chest pain and normal vitals except tachycardia at about 115 bpm. As Ken says below, tachycardia is not common in OMI and distorts the ST segment, so managing the tachycardia and repeating the ECG is a good strategy.

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What Lies Beneath

EMS 12-Lead

From afar, there is gross tachycardia, cadence irregularities, and narrow QRS complexes that may, or may not, be Sinus in origin; and finally – a cacophony of wide complexes that might very well be ventricular in origin. McLaren : We’ve answered the first question – Sinus Tachycardia with episodic runs of wide QRS (RBBB morphology) and PVC’s.

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90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

Diffuse ST depression with ST elevation in aVR: Is this pattern specific for global ischemia due to left main coronary artery disease? Incidence of an acute coronary occlusion. Am J Med 2019, 132(5):622-630. Incidence of an Acute Coronary Occlusion. American Journal of Medicine 132(5):622-630; May 2019.

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Chest pain, shortness of breath, T wave inversion, and rising troponin in a young healthy runner.

Dr. Smith's ECG Blog

Ct coronary angiogram showed normal coronary arteries. Smith note: I think CT coronary angiogram is reasonable with the elevated troponins and symptoms. International Journal of Cardiology 2019. T-wave inversions and dynamic ST elevation Tachycardia, hyperthyroid, and ST elevation. ng/L; 3 hours, 38.3