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Regular Wide Complex Tachycarida with poor LV function and hypotension. Duration unknown. How to manage?

Dr. Smith's ECG Blog

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. At the time, it seemed that virtually all cardiac patients with chronic AFib or heart failure were on this medication.

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GE HealthCare to Spotlight Industry-Leading AI-Enabled Portfolio and Digital Solutions at HIMSS 2024

DAIC

This integrated system leverages organized data like imaging report and waveform analysis reports in the cardiology care pathway and provide evidence based clinical decision support based on up to date AFib guidelines.

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Chest discomfort, Sinus Tachycardia, Q-waves, ST Elevation, and Intermittent Wide Complex Tachycardia. Activate the Cath Lab?

Dr. Smith's ECG Blog

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. FINAL PEARL #3: When AFib is fast — the rhythm may at first glance look like it is regular.

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Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

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. The April 6, 2023 post — excessive baseline artifact misdiagnosed as AFib ( instead of sinus rhythm with AV Wenckebach — as in Figure-4 in this post ).

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Chest (or abdominal?) pain and ECG artifact.

Dr. Smith's ECG Blog

The April 6, 2023 post — excessive baseline artifact misdiagnosed as AFib ( instead of sinus rhythm with AV Wenckebach — as in Figure-4 in this post ). There is STE in V5-6. There are new Q-waves in aVL, V5-6. The January 15, 2024 post — for an OMI despite lots of artifact! The September 15, 2023 post — for PTA ( Pulse-Tap Artifact ).

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