Dr. Smith's ECG Blog

JULY 5, 2024

I brought the patient to the critical care area and told the providers I thought it was atrial flutter with 2:1 AV conduction, but there is an outside chance that it is VT. PEARL #1: The most commonly overlooked arrhythmia is AFlutter ( A trial F lutter ). As a result — We can not rule out VT on the basis of this single ECG.

Atrial Flutter 113

Atrial Flutter Tachycardia Atrial Fibrillation AFIB 113

Dr. Smith's ECG Blog

AUGUST 13, 2020

He was brought to the critical care area where these rhythms were seen on the monitor: Wide complex tachycardia with no apparent P-waves, and very irregular Consistent with atrial fibrillation with aberrancy A Regular wide complex tachycardia. Instead, he complained of left chest "itchiness". Lead V1 in ECG #5 is especially diagnostic.

Tachycardia 52

Tachycardia AFIB Cardiogenic Shock Myocardial Infarction 52

Dr. Smith's ECG Blog

JANUARY 15, 2024

Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. Jenkins and Frick — I offer 3 additional examples of artifactual distortion ( excerpted from my ECG Blog ) — that resulted in arrhythmia misdiagnosis.

Chest Pain 64

Chest Pain Blog Arrhythmia Critical Care 64