Arrhythmia Chest Pain Dysrhythmia 
Dr. Sanjay Gupta
AUGUST 31, 2022
The word arrhythmia comes from two Greek words. So arrhythmia literally means absence or loss of rhythm. A cardiac arrhythmia therefore means loss of cardiac rhythm. It is important that the term dysrhythmia is never enough as a complete diagnosis. These include breathlessness, chest pain, dizziness or even blackouts.
Dr. Smith's ECG Blog
SEPTEMBER 27, 2023
This was written by Magnus Nossen, from Norway, with comments and additions by Smith A 50 something smoker with no previous medical hx contacted EMS due to acute onset chest pain. Upon EMS arrival the patient appeared acutely ill and complained of chest pain. Is it sinus or is it a supraventricular dysrhythmia?
Dr. Smith's ECG Blog
MAY 27, 2012
A 90 yo with a history of orthostatic hypotension had a near syncopal event followed by chest pain. Chest pain was resolved upon arrival in the ED. Idioventricular rhythm is a common "reperfusion arrhythmia." The second explanation (AIVR), whether as a reperfusion dysrhythmia or not, seems most likely.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Male in 30's, 2 days after Motor Vehicle Collsion, complains of Chest Pain and Dyspnea Head On Motor Vehicle Collision. Gunshot wound to the chest with ST Elevation Would your radiologist make this diagnosis, or should you record an ECG in trauma?
Dr. Smith's ECG Blog
JANUARY 5, 2020
This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. Atrial dysrhythmias, and atrial fi brillation in particular, are frequently misdiagnosed by computer algorithms and then by the physician who overreads them. How can you avoid overlooking this arrhythmia? GET a 12-lead!
Dr. Smith's ECG Blog
OCTOBER 25, 2022
She reports that she is now unable to vagal out of her palpitations and is having shortness of breath and dull chest pain. But adenosine only lasts for seconds, and if the dysrhythmia recurs, then the adenosine is gone. Prevent the initiation of the dysrhythmia -- this can be done with a beta blocker by prenenting PACS 2.
Dr. Smith's ECG Blog
APRIL 15, 2020
Inferior MI results in scar tissue which is a likely source of a re-entrant ventricular dysrhythmia. There are 6 KEY parameters to consider in systematic assessment of any arrhythmia. Here is the post-cardioversion ECG: There is sinus with RBBB There are inferior Q-waves suggesting old inferior MI.
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