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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

There is also bradycardia. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Torsades in acquired long QT is much more likely in bradycardia because the QT interval following a long pause is longer still. malignant ventricular arrhythmias are present), rapid replacement of potassium is required.

STEMI 52
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Should we activate the cath lab? A Quiz on 5 Cases.

Dr. Smith's ECG Blog

Triage is backed up, and 10 minutes into your shift one of the ED nurses brings your several ECG s that has not been overread by a physician. Imagine you just started your ED shift. It's a busy Friday afternoon. All of the patients presented with chest pain , and they are all in triage.

Ischemia 121
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Syncope and Block

EMS 12-Lead

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGblog A 72 y/o Male experiences a syncopal episode while seated. Chapter 17: Ventricular Arrhythmias. 2] Although the clinical context in today’s case does not fit these descriptors for Type I OMI (e.g.