Remove AFIB Remove Bradycardia Remove Cardiomyopathy
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How a pause can cause cardiac arrest

Dr. Smith's ECG Blog

The patient was diagnosed with stress cardiomyopathy. Widespread T wave inversions and prolongation of the QT interval is not uncommon in Takotsubo cardiomyopathy. The QTc then gradually shortened over the course of several days as is usual for stress cardiomyopathy. Potassium was 4,8 mmol/l. ( ref 3,5-4,6 mmol/l ).

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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. In most middle-aged patients with a history of cardiomyopathy, a WCT will usually be VT. Fragmentation suggests scarring (ie, from prior MI and/or cardiomyopathy ). Furthermore, while specific criteria (e.g.

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This was texted to me in real time. The patient has acute chest pain.

Dr. Smith's ECG Blog

Instead — my thoughts were as follows: The rhythm is sinus , with marked bradycardia and a component of sinus arrhythmia. WPW Cardiac arrhythmias ( especially AFib ). Smith's — in that despite the alarming ST-T wave changes, I did not think ECG #1 was the result of an acute event. Abnormal ST-T wave abnormalities.