AFIB Atrial Fibrillation Dysrhythmia 
Dr. Smith's ECG Blog
OCTOBER 24, 2024
Especially when present in the setting of bradycardia and syncopal episodes, this is very worrisome for high risk of lethal dysrhythmias including polymorphic ventricular fibrillation (termed Torsades when in the setting of long QT). This ECG shows sinus bradycardia with massively long QT (or QU?) interval, at over 600 msec.
Dr. Smith's ECG Blog
JANUARY 5, 2020
Here is the computer interpretation: ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSE WITH ABERRANT CONDUCTION OR VENTRICULAR PREMATURE COMPLEXES LEFT AXIS DEVIATION [QRS AXIS beyone -30] NONSPECIFIC ST and T-WAVE ABNORMALITY The over-reading physician confirmed this diagnosis, which is incorrect. It is not atrial fibrillation.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). See these publications for more information Overall, management for cardiac contusion is mostly supportive unless surgical complications develop, involving appropriate treatment of dysrhythmias and hemodynamic instability.
Dr. Smith's ECG Blog
OCTOBER 10, 2022
The rhythm is atrial fibrillation. I sent it to 2 of my ECG nerd colleagues with no clinical information whatsoever, who instantly said: "Looks like afib with subendocardial ischemia and right heart strain pattern." "I The rhythm is rapid AFib. The QRS complex is within normal limits.
Dr. Smith's ECG Blog
MARCH 6, 2020
Here is one full text article on the topic from Clinical Cardiology 2008: Diagnostic Approach and Treatment Strategy in Tachycardia-induced Cardiomyopathy Atrial Tachycardia (AT): another SVT in the ED Rapid dysrhythmia from non-sinus focus above AV node.
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