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male with pertinent past medical history including Atrial fibrillation, atrial flutter, cardiomyopathy, Pulmonary Embolism, and hypertension presented to the Emergency Department via ambulance for respiratory distress and tachycardia. Patient is on rivaroxaben, carvedilol, and dofetilide (to suppress atrial fib -- rhythm control).
The Role of Wearable Technology in Heart Health Wearable tech is designed to monitor physiological data and provide actionable insights to users. For heart health, these devices use advanced sensors to track metrics like heart rate, blood oxygen levels, and even irregular heartrhythms.
The electrical conduction system [1] In schematic depiction of a normal sinus rhythm the P-wave represents atrial depolarization, the QRS complex symbolizes ventricular depolarization, and the T-wave indicates ventricular repolarization. Sinus tachycardia – sinus rhythm above 100 bpm is a sinus tachycardia.
This strip was obtained: Apparent Wide Complex Tachycardia at a rate of 280 What do you think? He cardioverted to sinus rhythm, and a 12-lead was obtained. Troponins 34>33>43, likely secondary to myocardial injury from tachycardia. Smith immediately say the rhythm was AFlutter with 1:1 AV conduction?
Cardioversion is used to correct abnormal heartrhythms, also known as arrhythmias. When your heart beats too quickly, too slow, or irregularly, it can affect your blood flow and lead to severe complications like stroke or heart failure. Cardioversions can help “reset” your heartrhythm to its regular pattern.
But there are 3 other wide beats in the tachycardia that begins with beat #6 ( = beats #7; 13,14 ). Similar-looking wide beats #7,13,14 must also be aberrantly conducted supraventricular impulses — and since P waves are lost after beat #6 and subsequent R-R intervals are irregular — beats #7-thru-16 constitute a run of rapid AFib.
The combined solutions are expected to enhance performance and streamline workflows for electrophysiologists during catheter ablation procedures to treat atrial fibrillation , AFib. Our mission to combat complex heartrhythm diseases relies on optimizing interoperability.
320 divided by 0.6 = 533 ms (dangerously prolonged) However, Bazett is known to produce falsely prolonged corrected QT at high heart rates. Answer : you must treat the patient's underlying condition causing sinus tachycardia, and repeat the ECG at the lower heart rate. HeartRhythm 2016 Feb; 13(2):527-35.
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