Remove 2019 Remove Dysrhythmia Remove Ischemia
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A young woman with palpitations. What med is she on? With what medication is she non-compliant? What management?

Dr. Smith's ECG Blog

And superimposed subendocardial ischemia pattern, of course. Flecainide : This is a potentially dangerous Na channel blocker which can cause ventricular dysrhythmias including ventricular fibrillation. For more on AFlutter — Please check out My Comment in the November 12, 2019 post and the May 1, 2023 post in Dr. Smith's ECG Blog ).

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Young Man with a Heart Rate of 257. What is it and how to manage?

Dr. Smith's ECG Blog

Not all forms of idiopathic VT are predictable based on their ECG appearance ( Anderson et al, 2019 ). Anderson et al, 2019 ) — the chest lead LBBB pattern characteristic of LVOT ( as distinguished from RVOT ) — is that transition tends to occur earlier ( ie, by V1-V2 for LVOT vs after V3 or V4 for RVOT ).

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New Onset Heart Failure and Frequent Prolonged SVT. What is it? Management?

Dr. Smith's ECG Blog

There is no evidence of infarction or ischemia. Here is one full text article on the topic from Clinical Cardiology 2008: Diagnostic Approach and Treatment Strategy in Tachycardia-induced Cardiomyopathy Atrial Tachycardia (AT): another SVT in the ED Rapid dysrhythmia from non-sinus focus above AV node. H eart R ate C an H elp !

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

The limb lead abnormalities appear to be part of the Brugada pattern, as described in this article: Inferior and Lateral Electrocardiographic RepolarizationAbnormalities in Brugada Syndrome Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias.