Dr. Smith's ECG Blog
JULY 21, 2024
Distinction of PMVT vs VFib is an academic one in this case ). There was no evidence bradycardia leading up to the runs of PMVT ( as tends to occur with Torsades ). With longterm use there may be — bradycardia, AV conduction defects and risk of Torsades de Pointes ( especially in patients also on Digoxin ).
Dr. S. Venkatesan MD
OCTOBER 26, 2024
Unfortunately ,there appears to be a herd mentality, gradually creeping in to many of us, to jump over from traditional RV /RA pacing to the bundle branch area pacing , as an alternative to CRT or even regular bradycardia pacing. There is less compelling academic reasons for this change, than we think.
Dr. Smith's ECG Blog
MAY 30, 2023
Here is his ED ECG: There is bradycardia with a junctional escape. We recorded an ECG in which V1-V3 were put in the position of V4R-V6R, and V4-6 were placed in V7-9 to (academically) confirm posterior OMI. I say academically because the STD in V2 is diagnostic -- posterior leads are NOT necessary. What is the atrial activity?
EMS 12-Lead
MARCH 19, 2023
2] Exotic ECG findings – in this case, PR-interval shortening – make for excellent academic inquiry, but should never be a point of distraction from pathognomonic occlusive coronary disease. This was all very alarming because his baseline routine, otherwise, is unencumbered as he reports a usually high exertional tolerance.
Dr. Smith's ECG Blog
JANUARY 22, 2020
There are 3 etiologies I always think of with bradycardia and AV block: 1. In the interest of academic discussion Ill present a nother p erspective on selected aspects this case. She could even have developed asystole. Medications -- she had been on metoprolol for 4 years at the same dose, so this is unlikely to be the etiology 2.
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. Note: The patient while on telemetry had alternating atrial fibrillation, sinus rhythm with 1st degree AV block and also periods of Wenckebach conduction.
Dr. Smith's ECG Blog
JUNE 23, 2023
The patient later settled into sinus bradycardia. 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.
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