Remove Arrhythmia Remove Ischemia Remove Outpatient
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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

It should be kept in mind that on occasions, beta-one agonist can result in increased ventricular ectopy e.g., in severe myocardial ischemia (by increasing myocardial demand), or sometimes with congenital long-QT syndrome. Smith, this can be accomplished by either using beta-one agonists or temporary transvenous pacing.

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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia. Hopefully a repeat echocardiogram will be performed outpatient. Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). Chest trauma was suspected on initial exam.

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A woman in her 60s with palpitations

Dr. Smith's ECG Blog

Case sent by Magnus Nossen MD, edits by Meyers A previously healthy woman in her 60s presented to an outpatient clinic for palpitations. Today's CASE: To Review — The patient in today’s case is a previously healthy woman in her 60s who was seen in an outpatient clinic for “palpitations”. She was sedated and cardioverted.

AFIB 52
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85 year old with chest pain, STEMI negative, then normal troponin but with relatively large delta: discharge?

Dr. Smith's ECG Blog

But the bradycardia and the infero-posterior OMI is definitely new: Smith : this also has many abnormalities suggestive of ischemia: many leads have ischemic appearing ST depression The emergency provider followed the sequential steps of the current paradigm: 1. See analysis below. second ).

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Syncope, chest pain, and inferior ST Elevation with Reciprocal ST depression in aVL

Dr. Smith's ECG Blog

Doesn't this necessarily mean that he was having ischemia? But vasovagal syncope typically has a prodrome such that further evaluation of today's patient may be needed as an outpatient to better assess for the cause of his sudden syncope. What does the Queen of Hearts think? "No Unfortunately, life is not so simple.