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However, he suddenly developed a series of malignant ventricular arrhythmias. Below are printouts of some of the arrhythmias recorded. This time, the arrhythmia did not spontaneously terminate — but rather degenerated to VFib, requiring defibrillation. The arrhythmia starts with a PVC having a short coupling interval.
Arrhythmia In simple words, arrhythmia refers to an irregular heartbeat. A fast heartbeat is called tachycardia, while a slow heartbeat is called bradycardia in medical terms. Coronaryarterydisease Excessive cholesterol builds up plaque that blocks the arteries supplying blood to the heart.
The ST segment changes are compatible with severe subendocardial ischemia which can be caused by type I MI from ACS or potentially from type II MI (non-obstructive coronaryarterydisease with supply/demand mismatch). The arrhythmia spontaneously converted before defibrillation was achieved.
Similarly, you may use our , app to adjust the paper speed along with amplification to read the slightest changes, especially for conditions like tachycardia and bradycardia. Alternatively, it also helps enhance arrhythmia management with coronaryarterydisease.
A coronary angiogram was done that did not show significant coronaryarterydisease. Learning points : Takotsubo can lead to cardiac arrest from ventricular arrhythmia. Post ROSC the patient was alert and cooperative. Echocardiography showed apical ballooning with hypokinesis.
Athlete’s bradycardia due to increased parasympathetic tone and decreased sympathetic tone is a well-known observation. Though sinus bradycardia is usual, other abnormalities like sinus arrhythmia, sinus arrest, wandering atrial pacemaker and coronary sinus rhythm have been described.
Angiogram --Minimal coronary atherosclerosis --No obstructive epicardial coronaryarterydisease or evidence of plaque rupture noted to explain prolonged QT or ventricular fibrillation cardiacarrest, suspect nonischemic mechanism Echo The estimated left ventricular ejection fraction is 45 %.
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