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A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?

Dr. Smith's ECG Blog

These are all findings that can be expected with left ventricular aneurysm. The ECG shows what is likely an atrial ectopic rhythm with a left anterior hemiblock. There are QS-waves in V1-V4 with a fragmentation/notch in the last part of the QRS. There is some STE. This ECG does not show any sign of OMI.

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Fellowship Programs Demystified: Why and When You Should Consider a Fellowship

ADN Center of Excellence

For example, transitioning from general cardiology to interventional cardiology or electrophysiology. Cardiology Subspecializations such as interventional cardiology, electrophysiology, or cardiovascular imaging focus on treating heart diseases with precision and innovation. Here are a few examples: 1.

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A Giant Left Atrial Appendage Aneurysm With Incessant Atrial Tachycardia

Journal of Cardiovascular Electrophysiology

ABSTRACT Introduction Left atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial appendage (LAA), predisposing the patient to serious complications such as atrial tachyarrhythmias, life-threatening systemic thromboembolism, and cardiac dysfunction.

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STEMI – Anterior Wall

All About Cardiovascular System and Disorders

Similar changes may also be noted in left ventricular aneurysm after a myocardial infarction as the ST segment may remain elevated when there is a dyskinetic segment. T wave inversions are seen in leads I and aVL as well. There is no reciprocal ST segment depression in the inferior leads, possibly because it is beyond the acute phase.

STEMI 52
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Of Twists and Turns

EMS 12-Lead

A case for pleomorphism Josephson elucidated the concept of pleomorphism during electrophysiological study of patients with recurrent, sustained ventricular tachycardia. It was postulated that such an ECG feature is associated with advanced myocardial dysfunction, to include left ventricular aneurysm, as the cause of arrhythmia. [7]

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Look for Vascular Etiology -- think of these while doing H and P: --Bleeding: ruptured AAA, GI bleed, ruptured ectopic pregnancy, other spontaneous bleed such as mesenteric aneurysms. Electrophysiologic studies were performed in selected patients only as clinically appropriate.