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Formal Echocardiogram: Normal left ventricular size and wall thickness. For example — Baldi et al note a more than doubling in the number of false-positive ECGs for STEMI i f judgments were based on post-resuscitation 12-lead tracings obtained less than 7 minutes after ROSC ( Resuscitation 162:445-446, 2021 ).
It is reasonable to perform an echocardiogram to evaluate LV function. Catheter ablation or flecainide should be considered in symptomatic patients with idiopathic VT/PVCs from an origin other than the RVOT or the left fascicles. [ 1 ] Considerations Regarding Use of Flecainide: A 12-lead ECG is mandatory before starting therapy.
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