Arrhythmia Bradycardia Outpatient 
Dr. Smith's ECG Blog
JANUARY 2, 2025
Discontinue all negative chronotropic agents, since the risk of torsade is much higher with bradycardia or pauses. As described above by Dr. Smith Pacing in today's case is an effective intervention as doing so prevents the bradycardia and pauses that are likely to precipitate additional episodes of Torsades de Pointes. (
Dr. Smith's ECG Blog
JUNE 27, 2024
EMS reports intermittent sinus tachycardia and bradycardia secondary to some type of heart block during transport. She was discharged with plan for outpatient cardiac MRI for further evalution. The "good news" ( from an arrhythmia interpretation perspective ) — is that we now see P waves much better than we did in the initial ECG.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
Hopefully a repeat echocardiogram will be performed outpatient. Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). NOTE: Prediction of cardiac contusion "severity" on the basis of cardiac arrhythmias and ECG findings — is an imperfect science. QTc prolongation.
Dr. Smith's ECG Blog
JANUARY 13, 2024
Written by Willy Frick A man in his 70s with a history of HFrEF and sick sinus syndrome s/p dual chamber pacemaker placement was admitted for overnight observation following outpatient placement of a mitral valve clip. Cardiology was consulted, and the note said "no arrhythmias on telemetry or pacer interrogation." What do you think?
Dr. Smith's ECG Blog
MARCH 24, 2023
There’s sinus bradycardia, first degree AV block, normal axis, delayed R wave progression, and normal voltages. Hyperacute T waves are deflating, suggesting reperfusion but there is still reciprocal change in I/aVL and ST depression in V2, and the bradycardia is worse. Below is the ECG. What do you think? See analysis below.
Dr. Smith's ECG Blog
NOVEMBER 11, 2024
Written by Willy Frick A middle aged man presented for elective outpatient surgery. To Emphasize: For those in search of "the quick answer" — today's middle-aged man should not be approved for an outpatient elective surgical procedure without further evaluation. The following ECG was obtained in the preoperative area.
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