Remove AFIB Remove Arrhythmia Remove Stents
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Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide.

Dr. Smith's ECG Blog

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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A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?

Dr. Smith's ECG Blog

The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. The patient also has a history of AFib and HFmrEF ( = H eart F ailure with M inimally- R educed E jection F raction ). She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment.

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Wide-complex tachycardia that didn’t follow the rules

Dr. Smith's ECG Blog

They had a history of non-ischemic cardiomyopathy (EF 30%), as well as PCI with one stent. On the contrary — much ( if not most ) of the time, we begin arrhythmia treatment of a WCT before we know with 100% certainty what the rhythm is. Only AFib was induced during EP study.

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Best of cardiology in 2024 : Check it out and find the winner.

Dr. S. Venkatesan MD

It is asking for stenting all non-flow limiting lesion , if found, to carry high risk plaques by intracoronary Imaging. Top 10 Clinical Trials Preventive PCI on Stenosis With Functionally Insignificant Vulnerable Plaque PREVENT (ACC.24) 24) Microaxial Flow Pump in Infarct-Related Cardiogenic Shock DanGer Shock (ACC.24)