Remove AFIB Remove Echocardiogram Remove Tachycardia
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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia. Hopefully a repeat echocardiogram will be performed outpatient. The Initial ECG in Today's Case: As per Dr. Meyers — the initial ECG in today's case shows sinus tachycardia with bifascicular block ( = RBBB/LAHB ).

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New Onset Heart Failure and Frequent Prolonged SVT. What is it? Management?

Dr. Smith's ECG Blog

Here was his ED ECG: There is sinus tachycardia (rate about 114) with nonspecific ST-T abnormalities. Later, he underwent a formal echocardiogram: Very severe left ventricular enlargement (LVED diameter 7.4 An ECG was recorded: This shows a regular narrow complex tachycardia at a rate of about 160. C (99 °F), Resp (!)

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Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

We can see enough to make out that the rhythm is sinus tachycardia. Tachycardia is unusual for OMI, unless the patient is in cardiogenic shock (or getting close). A bedside ultrasound should be done to assess volume and other etiologies of tachycardia, but if no cause of type 2 MI is found, the cath lab should be activated NOW.

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90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

See this case: what do you think the echocardiogram shows in this case? With the history of Afib, CTA abdomen was ordered to r/o mesenteric ischemia vs ischemic colitis vs small bowel obstruction. A slightly prolonged QTc ( although this is difficult to assess given the tachycardia ). The patient was placed on telemetry.

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Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L?

Dr. Smith's ECG Blog

An echocardiogram was done. Sinus Tachycardia ( common in any trauma patient. ). Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). Is there also Brugada? Here is the result: The estimated left ventricular ejection fraction is 50 %. Right ventricular prominence.