Arrhythmia Bradycardia Pulmonary 
Ken Grauer, MD
SEPTEMBER 15, 2024
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. Perhaps the patient has pulmonary hypertension and/or tricuspid regurgitation?
Dr. Smith's ECG Blog
JANUARY 2, 2025
CT of the chest showed no pulmonary embolism but bibasilar infiltrates. Discontinue all negative chronotropic agents, since the risk of torsade is much higher with bradycardia or pauses. She was intubated. Bedside cardiac ultrasound showed moderately decreased LV function. The plan: 1. Place temporary pacemaker 3.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
Q waves in association with RBBB are usually not seen in anterior leads unless there is pulmonary hypertension or anterior infarction. Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). RBBB in blunt chest trauma seems to be indicative of several RV injury.
Dr. Smith's ECG Blog
JANUARY 22, 2020
This middle-aged patient presented with SOB, weakness, and mild pulmonary edema. There are 3 etiologies I always think of with bradycardia and AV block: 1. In my experience the aspect of interpretation that computer algorithms do most poorly in, is interpretation of complex arrhythmias. This shows atrial fibrillation.
Dr. Smith's ECG Blog
APRIL 8, 2016
Bedside ultrasound showed no effusion and moderately decreased LV function, with B-lines of pulmonary edema. There is also bradycardia. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Mean baseline [K] p was 2.9
Dr. Smith's ECG Blog
APRIL 8, 2015
PVCs N ot generally considered abnormal ECG findings: Isolated PAC, First Degree AV Block, Sinus bradycardia at a rate of 35-45, and Nonspecific ST-T abnormalities (even if different from a previous ECG). Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful.
Dr. S. Venkatesan MD
NOVEMBER 22, 2024
For many us, frying or freezing the atrial or pulmonary venous tissue would come to our mind first , overlooking systemic factors. We don’t need to think deep, to realize, modalities which take on this arrhythmia head-on has a minuscule role at the population level.
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