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Because she has cardiomyopathy and ventricular dysrhythmias, the pacer included an Implanted Cardioverter-Defibrillator (ICD) Echo 6 days later after CRT: Normal estimated left ventricular ejection fraction. The septum is punctured with the active fixation screw of the lead - so essentially you bore the septum with the screw helix."
Is it sinus or is it a supraventricular dysrhythmia? link] == MY Comment , by K EN G RAUER, MD ( 9/27 /2023 ): == Fascinating series of tracings by Dr. Nossen — that illustrate dramatic shark fin morphology from acute LAD OMI. Of academic interest — are the arrhythmias that developed.
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 ). She is already anti-coagulated, so that is not an issue.
There were no dysrhythmias on cardiac monitor during observation. This discussion comes from this previous post: Hyperthermia and ST Elevation Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias. He was found to be influenza positive. Is there fever again?
He was admitted for monitoring and had no dysrhythmias. Overnight telemetry showed no arrhythmias ( important to reduce the risk of worrisome arrhythmia given this patient's chief complaint of sudden syncope without prodrome ). Amazingly, the Queen also recognizes it as "Not OMI". She is very good. Troponins were negative.
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