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We examined the effect of ibutilide, a class III antiarrhythmic agent, on the energy requirement for atrial defibrillation and assessed the value of this agent in facilitating cardioversion in patients with atrial fibrillation that is resistant to conventional transthoracic cardioversion. Methods. . =
After resuscitation and defibrillation , there were no more episodes of TdP. Below is the patient’s 12 lead ECG following defibrillation. Learning points : Takotsubo can lead to cardiac arrest from ventricular arrhythmia. NT-proBNP was significantly elevated at 4900ng/L ( ref < 500ng/L ). What does this ECG tell you?
The disorder is rare — but it takes on importance as a potential cause of atrial and ventricular arrhythmias, including cardiac arrest. Treatment is by ICD ( implantable cardioverter defibrillator ). SQTS is a relatively new diagnosis that has only been recognized as a distinct clinical entity since 2000.
Jenkins and Frick — I offer 3 additional examples of artifactual distortion ( excerpted from my ECG Blog ) — that resulted in arrhythmia misdiagnosis. The CHALLENGE: In each case — HOW can you immediately discount the arrhythmia that was diagnosed? Rhythm A: This rhythm strip was observed on telemetry — and thought to be AFlutter.
This causes deadly arrhythmias and should be considered in patients with syncope and short QT 2. The disorder is rare — but it takes on importance as a potential cause of atrial and ventricular arrhythmias, including cardiac arrest. Treatment is by ICD ( implantable cardioverter defibrillator ). Short QT syndrome.
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