Ken Grauer, MD

MARCH 29, 2023

While medical trial of an antiarrhythmic agent can at times be undertaken ( assuming the clinician remains at the bedside throughout the process ) — synchronized cardioversion is often favored for treatment of AFib with WPW, given the exceedingly rapid ventricular response with this arrhythmia. What do YOU see?

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Blog AFIB Arrhythmia Download 78

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

That said — rhythm interpretation here is more of an academic interest — as the most striking findings are the widespread T-wave inversions and QT prolongation. Learning points : Takotsubo can lead to cardiac arrest from ventricular arrhythmia. The patient was diagnosed with stress cardiomyopathy.

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Cardiac Arrest Cardiomyopathy Arrhythmia Atrial Fibrillation 67

Dr. Smith's ECG Blog

APRIL 22, 2019

The computer called it a normal ECG Algorithm unknown Aside : [There is some "sinus arrhythmia", which is indeed a normal finding. Sinus arrhythmia is sinus rhythm whose rate varies with respiration. If the longest P-P interval is 120 ms greater than the shortest, it is sinus arrhythmia.

Chest Pain 52

Chest Pain Arrhythmia Ischemia STEMI 52

Dr. Smith's ECG Blog

SEPTEMBER 29, 2023

BOTTOM Line: The above are advanced points that are academic because we cannot know what happened with beat #1 since we don't see the QRS before this beat. Initially this suggested to me that rather than ATach — the mechanism of today's SVT might be the fast-slow" form of AVNRT.

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Chest Pain Tachycardia STEMI Blog 129

Dr. Smith's ECG Blog

JANUARY 5, 2020

Failure to follow this advice will undoubtedly lead to overlooking subtle acute MIs — and , it will especially lead to misdiagnosing many cardiac arrhythmias ( as was done in this case ). How can you avoid overlooking this arrhythmia? The reasons for overlooking this arrhythmia are simple: True MAT is not a common rhythm.

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Dr. Smith's ECG Blog

MARCH 31, 2023

I first became interested in computerized ECG interpretation in the beginning of my academic days in the early 1980s ( References to some of my work appear below — as I believe I may have been the first family physician to publish in this area ). RED arrows in leads V3,V4 highlight T- QRS-D in ECG #2. ( Louis, 1998, pp 374-379.

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Dr. Smith's ECG Blog

APRIL 29, 2020

Therefore, she underwent temporary pacemaker placement and overdrive pacing at a rate of 90 bpm to keep the heart rate up in order to prevent these PVCs triggering ventricular arrhythmia. Hypokalemia was unlikely because she continued to have ventricular arrhythmia despite of correcting electrolytes.

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Dr. Smith's ECG Blog

JANUARY 22, 2020

In the interest of academic discussion Ill present a nother p erspective on selected aspects this case. In my experience the aspect of interpretation that computer algorithms do most poorly in, is interpretation of complex arrhythmias.

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Dr. Smith's ECG Blog

JUNE 23, 2023

The amiodarone was discontinued and the patient did well. == MY Comment , by K EN G RAUER, MD ( 6/23 /2023 ): == From an academic standpoint — I love WCT ( W ide- C omplex T achycardia ) rhythms. The above said — Dr. Smith's approach to today's arrhythmia highlights a number of important points!

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Tachycardia Cardiomyopathy Arrhythmia Diabetes 52

Dr. Smith's ECG Blog

DECEMBER 16, 2018

During hospital admission she had a variety of atrial arrhythmias, which eventually resolved, likely due to her decreasing flecainide level. Additionally, her beta-blocker dose had been decreased because of bradycardia, further predisposing her to atrial flutter.

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Tachycardia Atrial Flutter AFIB Atrial Fibrillation 52

Dr. Smith's ECG Blog

NOVEMBER 26, 2018

In some cases the ischemia can be seen "through" the flutter waves, whereas in other cases the arrhythmia must be terminated before the ischemia can be clearly distinguished. Learning Points: Acute arrhythmias such as SVT, rapid AF, and atrial flutter may coexist and/or be caused by ischemia, or vice versa.

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Ischemia Atrial Flutter Arrhythmia Tachycardia 52

DAIC

APRIL 22, 2025

Additionally, to further the American Heart Associations commitments to expanding diversity in clinical research, each of the centers will work in conjunction with an academic institution that primarily serves individuals who are underrepresented in science.

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Research Blood Pressure Risk Factors Obesity 52

Dr. Smith's ECG Blog

JULY 21, 2024

However, he suddenly developed a series of malignant ventricular arrhythmias. Below are printouts of some of the arrhythmias recorded. This time, the arrhythmia did not spontaneously terminate — but rather degenerated to VFib, requiring defibrillation. The arrhythmia starts with a PVC having a short coupling interval.

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Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 130

Dr. S. Venkatesan MD

MARCH 19, 2024

My EP friend poked me with more academic toxemia. Massie Block -Ref 1) But, if there is something unusual in the clinical history, be ready to investigate until the arrhythmia, or at least the anxiety disappears. The possible need for a MRI study to rule out silent arrhythmogenic intramural granulomas was also discussed. Semsarian, C.

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Arrhythmia Sudden Cardiac Death Electrophysiology Cardiomyopathy 52

DAIC

FEBRUARY 22, 2024

Hershberger leads the DCM Consortium , which is composed of 25 leading academic U.S. The severity of the condition can vary within families, with some family members exhibiting minor symptoms while others may die of heart failure or an arrhythmia causing sudden cardiac death.

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Dr. Smith's ECG Blog

MAY 3, 2024

Determination of the cardiac rhythm in today's case is of more than academic interest — since my initial "quick glance" of ECGs from this woman in her 60s who presented in shock — was that the QRS looked wide with an irregular rhythm that might represent a polymorphic VT.

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Cardiogenic Shock Cardiac Arrest Hospital Ischemia 126

Dr. Smith's ECG Blog

JUNE 13, 2024

Case progression: The automated EKG interpretation was “sinus rhythm with sinus arrhythmia, right atrial enlargement, rightward axis, possible anterior infarct, age undetermined, abnormal ECG”. The physician documented “normal sinus rhythm”. The patient was given 0.4mg nitroglycerin SL, which did not change her pain.

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Chest Pain Document STEMI Defibrillator 91

American College of Cardiology

FEBRUARY 1, 2025

The simple test revealed Wolff-Parkinson-White syndrome, an easily diagnosable and treatable arrhythmia. "I These have ranged from heart attacks, cardio-obstetrics, breast cancer, prevention and arrhythmias.8-13 I could not believe that anyone would be treated that way," Volgman says.

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Dr. Smith's ECG Blog

APRIL 8, 2015

Finally, much of this correlates well with The new Canadian Syncope Arrhythmia Risk Score , just published in 2016, results of which are given below in the Annotated Bibliography. The most recent and probably best study is this: Canadian Syncope Arrhythmia Risk Score. Academic Emergency Medicine., Thiruganasambandamoorthy, V.,

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Arrhythmia Outcomes Chest Pain Risk Factors 52

Dr. S. Venkatesan MD

JANUARY 1, 2025

Welcome to 2025 and best wishes for a great academic journey to all readers. Collected from ACC website (Arranged in three heading) These are the creamy academic extract of whatever happened over the last one year. Thanks to ACC for compiling it. 24) Microaxial Flow Pump in Infarct-Related Cardiogenic Shock DanGer Shock (ACC.24)

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MIBHS

NOVEMBER 30, 2024

In our fast-paced world, many people seek quick solutions for energy boosts, particularly young adults who are often balancing academic, work, and social commitments. Increased Risk of Arrhythmias : There is evidence to suggest that excessive caffeine consumption from energy drinks can lead to arrhythmias, which are irregular heartbeats.

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Blood Pressure Heart Disease Coronary Artery Disease Arrhythmia 52

Dr. Smith's ECG Blog

APRIL 9, 2025

If breakthrough ventricular arrhythmias occurred, additional 50-mg boluses were given every 5 minutes, as needed to a maximum of 325 mg. Add to this the sobering clinical reality of how difficult it is to get objective, controlled, prospective data in the emergency situation of cardiac arrest and life-threatening arrhythmias.

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Defibrillator Cardiac Arrest Myocardial Infarction STEMI 63

Dr. S. Venkatesan MD

APRIL 3, 2025

severe mitral stenosis, pulmonary hypertension, or cardiomyopathy), prolonged labor could strain the heart excessively, potentially leading to decompensation, heart failure, or arrhythmias. For women with significant heart disease (e.g., There are set of contions and absolute indication for LSCS in heart disese.

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Heart Disease Blood Pressure Heart Failure Aortic 45