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Brugada pattern induced by tricyclic antidepressant

Dr. Smith's ECG Blog

The patient himself had never had syncope or dysrhythmias. He proceeded also with an implantable loop recorder to detect subclinical dysrhythmias, and this was negative. Without Brugada pattern on the baseline ECG, there is no Brugada syndrome. However, there is an uncertain history of sudden death as well as inducible Brugada pattern.

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Agitation and Tachycardia

Dr. Smith's ECG Blog

No patient with a QRS of less than 160 ms had ventricular dysrhythmias. Blockade of cardiac fast sodium channels (leads to wide QRS, R-wave in aVR, R' wave in V1, Brugada pattern ECG, ventricular dysrhythmias.) Articles on TCA More TCA ECGs from Dr. Smith's ECG Blog More on TCA overdose, with ECGs, from life in the fast lane.

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An adolescent with trauma, chest pain, and a wide complex rhythm

Dr. Smith's ECG Blog

He has a great blog too: ECG Interpretation He is also well known on the Facebook EKG Club page , where you can learn tons about ECGs: Here is his response, with the first ECG labelled: Hello Steve & Avinash. It is commonly seen in the reperfusion setting. It appears to be benign in children as well (see references below). What is it?

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Patient with severe DKA, look at the ECG

Dr. Smith's ECG Blog

So the real QT is shorter, but the computer does not mention the U-wave, and the U-wave is as important as the T-wave in predicting cardiac dysrhythmias. However, this review references the Sterns article above, which by my reading does not state this. This is an extremely dangerous ECG. The K returned at 1.9

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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

Could the dysrhythmias have been prevented? However, this review references the Sterns article above, which by my reading does not state this. I have read articles that say that patients without ischemia are at low risk of complications from hypokalemia, But it is not entirely without risk. Learning Points: 1. Crit Care Med.

STEMI 52
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A Relatively Narrow Complex Tachycardia at a Rate of 180.

Dr. Smith's ECG Blog

I also believe that we physicians and medics are eager to treat dysrhythmias, and we want to see them even when they are not there. Dilated pupils and hypertension are a strong clue to sympathetic overload, but don't forget anticholinergic syndromes, including tricyclics! ADDIN EN.CITE Lange 1990 734 734 17 Lange, R.A. Cigarroa, R.G.

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

The article is edited by Smith. Figure-1: ECG criteria for diagnosis of a Brugada-1 or Brugada-2 pattern ( See text ). == N OTE : There are numerous additional cases regarding Brugada pattern ECGs by Dr. Smith on this blog ( Simply search for Brugada Syndrome! ). This was submitted by Alexandra Schick.