AFIB, Critical Care and Myocardial Infarction

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AFIB

Critical Care

Myocardial Infarction

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

Dr. Smith's ECG Blog

AUGUST 13, 2020

Alternatively , it is someone who has an old myocardial infarction and is now very sick with something else. Today’s patient developed the series of 4 tachyarrhythmias shown above in the critical care area of the ED. Below is my response. There is sinus tach. There is an incomplete RBBB and LAFB.

Tachycardia

Tachycardia AFIB Cardiogenic Shock Myocardial Infarction

Chest (or abdominal?) pain and ECG artifact.

Dr. Smith's ECG Blog

NOVEMBER 23, 2024

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 was a previous ECG available for review: This shows baseline STE in inferior leads, including lead III. The January 15, 2024 post — for an OMI despite lots of artifact!

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

Chest (or abdominal?) pain and ECG artifact.

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