Remove Ablation Remove Blood Pressure Remove Chest Pain
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A young man with persistent palpitations

Dr. Smith's ECG Blog

Mentation and blood pressure were normal. He had no chest pain or shortness of breath. The patient did well and was referred for ablation. Written by Pendell Meyers A teenager was playing basketball when he suddenly developed palpitations and lightheadedness. Heart rates on the monitor fluctuated from 180-250 bpm.

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A young man with another episode of tachycardia. What is it? And why give adenosine in sinus rhythm?

Dr. Smith's ECG Blog

Written by Bobby Nicholson MD and Pendell Meyers A man in his 30s presented to the ED for evaluation of chest pain and palpitations. At this point, the patient had been symptomatic for almost 5 hours, appeared unwell with chest pain and diaphoresis. His blood pressure was 118/96.

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American College of Cardiology ACC.24 Late-breaking Science and Guidelines Session Summary

DAIC

ET Murphy Ballroom 4 Comparison of an "Inclisiran First" Strategy with Usual Care in Patients With Atherosclerotic Cardiovascular Disease: Results From the VICTORION-INITIATE Randomized Trial Targeting Weight Loss to Personalize the Prevention of Type 2 Diabetes Once-weekly Semaglutide in Patients with Heart Failure With Preserved Ejection Fraction, (..)

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Early Rhythm Control, Lifestyle Modification and More Tailored Stroke Risk Assessment Are Top Goals in Managing Atrial Fibrillation

DAIC

AFib causes a variety of symptoms, including fast or chaotic heartbeat, fatigue, shortness of breath, and chest pain, and causes about 450,000 hospitalizations each year, according to the Centers for Disease Control and Prevention. Still, he emphasized the need for a multipronged approach for better success.

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A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day

Dr. Smith's ECG Blog

A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with intermittent central chest pain and SOB. She had one episode of pain the previous night and two additional episodes early on morning the morning she presented. Deep breaths are painful and symptoms come and go.

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A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?

Dr. Smith's ECG Blog

Medical treatment for heart failure was optimized and after a few days the patient was discharged with referral to VT ablation procedure. Learning points *A patient with tachydysrhythmia and chest discomfort needs immediate rhythm or rate control. After atrial rhythm/SR was restored the patient slowly improved.

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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

The patient in today’s case is a previously healthy 40-something male who contacted EMS due to acute onset crushing chest pain. The pain was 10/10 in intensity radiating bilaterally to the shoulders and also to the left arm and neck. An Impella device was placed to maintain cardiac output and perfusion pressures.