Remove Arrhythmia Remove Bradycardia Remove Cardiomyopathy
article thumbnail

Challenging Arrhythmias — MIS-C Case Report (9-16.1-2024) - NOT_YET_FINISHED

Ken Grauer, MD

For full discussion of the case — CLICK HERE — ECG Rhythm Overview: A 12-year-old boy was admitted to our hospital with severe myocardial dysfunction and chaotic rhythm with tachy- and bradycardic arrhythmias. There definitel are periods of bradycardia (so pacing may be needed for that).

article thumbnail

Spectrum of hereditary transthyretin amyloidosis due to T60A(p.Thr80Ala) variant in an Irish Amyloidosis Network

Open Heart

Background Variant transthyretin amyloidosis (ATTRv) is a hereditary multisystem disorder with clinical spectrum ranging from predominant cardiomyopathy to polyneuropathy. In the Irish population, the T60A mutation has been previously recognised as the most common genotype.

article thumbnail

Long?term outcomes of patients with ventricular arrhythmias and negative programmed ventricular stimulation followed with implantable loop recorders: Impact of delayed?enhancement cardiac magnetic resonance imaging

Journal of Cardiovascular Electrophysiology

Abstract Background Programed ventricular stimulation (PVS) is a risk stratification tool in patients at risk for adverse arrhythmia outcomes. Patients with negative PVS may yet be at risk for adverse arrhythmia-related events, particularly in the presence of symptomatic ventricular arrhythmias (VA).

article thumbnail

Normal angiogram one week prior. Must be myocarditis then?

Dr. Smith's ECG Blog

IMPRESSION: The finding of sinus bradycardia with 1st-degree AV block + marked sinus arrhythmia + the change in PR interval from beat #5-to-beat #6 — suggests a form of vagotonic block ( See My Comment in the October 9, 2020 post in Dr. Smith's ECG Blog ). Initial high sensitivity troponin I returned at 6ng/L (normal 0.20

article thumbnail

What is athlete’s heart?

All About Cardiovascular System and Disorders

Enlargement of the left ventricular cavity, increased wall thickness and increased trabeculations in athlete’s heart will have to be differentiated from conditions like dilated cardiomyopathy, hypertrophic cardiomyopathy and isolated left ventricular non-compaction. Differentiating Athlete’s Heart From Cardiomyopathies – The Left Side.

article thumbnail

Wide complex tachycardia and hypotension in a 50-something with h/o cardiomyopathy -- what is it?

Dr. Smith's ECG Blog

A 50-something male with unspecified history of cardiomyopathy presented in diabetic ketoacidosis (without significant hyperkalemia) with a wide complex tachycardia and hypotension. The fact that he has a cardiomyopathy argues for a more typical ventricular tachycardia, as does the absence of rSR' in lead V1. It is regular.

article thumbnail

A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis?

Dr. Smith's ECG Blog

It turns out that she has hypertrophic cardiomyopathy. Here is the echo report for this visit (after the negative angiogram): Hypertrophic cardiomyopathy with asymmetric septal hypertrophy. I added, "Makes me wonder if this could be myocarditis in a younger adult — maybe even with sinus arrhythmia."

Stroke 70