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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5 malignant ventricular arrhythmias are present), rapid replacement of potassium is required. Arrhythmias, changes in cardiac conduction intervals, and other complications did not occur.

STEMI 52
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What do you think of this "Ventricular Bigeminy"?

Dr. Smith's ECG Blog

Khouzam RN. ANSWER: To emphasize — Assessment of this tracing is made difficult because there is an underlying sinus arrhythmia and , because P wave amplitude is small. Here is a relevant and tough case of intermittent runs of antidromic AVRT: Wide Complex Tachycardia: is the patient stable or unstable? References: 1. J Electrocardiol.

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Wide-complex tachycardia that didn’t follow the rules

Dr. Smith's ECG Blog

Although the emergency physician (along with an APRN and an RN) had not seen any alterations in the rhythm after adenosine was pushed, a paper recording of the episode was subsequently unearthed. On the contrary — much ( if not most ) of the time, we begin arrhythmia treatment of a WCT before we know with 100% certainty what the rhythm is.