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Very fast regular tachycardia: 2 ECGs from the same patient. What is going on?

Dr. Smith's ECG Blog

Is it sinus or is it a supraventricular dysrhythmia? Of academic interest — are the arrhythmias that developed. If rapid, that means that the depolarization is rapidly advancing and that it must be using conducting fibers (Purkinje fibers), and is therefore supraventricular. What is the SupraVentricular Rhythm?

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A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

Dr. Smith's ECG Blog

If you don't know what the dysrhythmia is, then try procainamide. Definitive diagnosis that ECG #1 is in fact VT is more than academic. Pads were placed with ultrasound guidance, so they were in the correct position. What to do now? If you believe it is SVT, then try adenosine. So I would give procainamide.

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Atrial fibrillation? Multifocal Atrial Tachycardia? Don't look at computer read until AFTER you interpret!

Dr. Smith's ECG Blog

Atrial dysrhythmias, and atrial fi brillation in particular, are frequently misdiagnosed by computer algorithms and then by the physician who overreads them. Shah and Rubin studied the computer rhythm interpretation of 2160 12-lead ECGs, compared to 2 cardiologists [ 18 ].

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Academic Emergency Medicine., Dysrhythmia, pacer), 4) valvular heart disease, 5) FHx sudden death, 6) volume depletion, 7) persistent abnormal vitals, 8) primary CNS event __ 3) Mendu ML et al. Academic Emergency Medicine, 2003 Volume 10, Number 5 539-540. Thiruganasambandamoorthy, V., Sivilotti, M., Mukarram, M., Baumann, B.