Remove 2020 Remove AFIB Remove Bradycardia
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What is this ECG finding? Do you understand it before you hear the clinical context?

Dr. Smith's ECG Blog

Altered Mental Status, Bradycardia == MY Comment , by K EN G RAUER, MD ( 2/2 /2024 ): == Dr. Meyers began today’s case with the clinical challenge of asking you to identify the underlying cause of ECG #2. -- Read this ECG -- Osborn Waves and Hypothermia (this is the "Figure" above) What does LBBB look like in severe hypothermia?

Blog 137
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A woman in her 70s with bradycardia and hypotension

Dr. Smith's ECG Blog

Resuscitation was initiated and this ECG was obtained: Likely AFib (irregularly irregular) with bradycardia. Consider thrombolytics for OMI when PCI is not an option. == MY Comment by K EN G RAUER, MD ( 1/19/2020 ): == There is a LOT to talk about regarding the series of tracings in this unfortunate case.

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This middle-aged patient presented with SOB, weakness, and mild pulmonary edema.

Dr. Smith's ECG Blog

There are 3 etiologies I always think of with bradycardia and AV block: 1. See this terrible case: Computer often fails to diagnose atrial fibrillation in ventricular paced rhythm, and that can be catastrophic == MY Comment , by K EN G RAUER, MD ( 1/22/2020 ): == Our THANKS to Dr. Smith for presenting this extremely interesting case.

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How a pause can cause cardiac arrest

Dr. Smith's ECG Blog

I have periodically called attention to examples of the Ashman phenomenon as they occur in Dr. Smith's ECG Blog ( See My Comments in the January 5, 2020 post — the June 17, 2020 post — and the March 30, 2023 post , among others ).

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A woman in her 50s with dyspnea and bradycardia

Dr. Smith's ECG Blog

Her vital signs were within normal limits except for bradycardia at 55 bpm. It is probably sinus bradycardia with very small/depressed P-waves and prolonged PR interval. P EARL # 4 In my opinion, it is not worth wasting time trying to figure out the specific rhythm diagnosis of a bradycardia when there is hyperkalemia.