Dr. Smith's ECG Blog

JUNE 11, 2023

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. An accessory pathway was identified and was ablated.

Tachycardia 98

Tachycardia Atrial Fibrillation Chest Pain Blood Pressure 98

Dr. Smith's ECG Blog

MAY 27, 2012

A 90 yo with a history of orthostatic hypotension had a near syncopal event followed by chest pain. Chest pain was resolved upon arrival in the ED. The second explanation (AIVR), whether as a reperfusion dysrhythmia or not, seems most likely. His previous ECG was normal. What is it? Answer below.

Chest Pain 52

Chest Pain Ischemia Dysrhythmia STEMI 52

Dr. Smith's ECG Blog

OCTOBER 25, 2022

She reports that she is now unable to vagal out of her palpitations and is having shortness of breath and dull chest pain. But adenosine only lasts for seconds, and if the dysrhythmia recurs, then the adenosine is gone. Prevent the initiation of the dysrhythmia -- this can be done with a beta blocker by prenenting PACS 2.

Tachycardia 52

Tachycardia Atrial Flutter Dysrhythmia Ablation 52