Remove AFIB Remove Defibrillator Remove Pericarditis
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A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation. 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. CPR was initiated immediately.

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Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

The "flu-like" illness suggests myo- or pericarditis, but that would be a diagnosis of exclusion. Rhythm C: This telemetry strip from an older adult was initially thought to need defibrillation. Do not wait for the troponin; a lot of myocardium will be dead if you do. The case continues. The March 17, 2023 post — for PTA.