Atrial Fibrillation Chest Pain Tachycardia 
Dr. Smith's ECG Blog
SEPTEMBER 29, 2023
Sent by anonymous, written by Pendell Meyers, reviewed by Smith and Grauer A man in his 40s presented to the ED with HTN, DM, and smoking history for evaluation of acute chest pain. He was eating lunch when he had sudden onset chest pressure, 9/10, radiating to his back, with sweating and numbness in both hands. was discovered.
Dr. Smith's ECG Blog
MAY 25, 2024
An elderly dialysis patient presented with chest pain. Here is her ECG: Regular Wide Complex Tachycardia. Here is her ECG: Regular Wide Complex Tachycardia. Regular means it can't be atrial fibrillation --Most regular wide complex tachcardia are VT, especially if the patient has poor LV function, as in this case.
Dr. Smith's ECG Blog
JUNE 11, 2023
Written by Bobby Nicholson MD and Pendell Meyers A man in his 30s presented to the ED for evaluation of chest pain and palpitations. The ECGs show a wide complex, irregularly irregular tachycardia. Thus, the patients rhythm is atrial fibrillation with WPW. Thus, the patients rhythm is atrial fibrillation with WPW.
Dr. Smith's ECG Blog
FEBRUARY 16, 2024
He had no chest pain or shortness of breath. But it is not disorganized enough to be polymorphic ventricular tachycardia. The rhythm is therefore atrial fibrillation with WPW until proven otherwise. Learning Points: Wide complex irregularly irregular tachycardias include PMVT, AF with WPW, and AF with aberrancy.
Circulation: Arrhythmia and Electrophysiology
DECEMBER 21, 2023
BACKGROUND:Inflammation may promote atrial fibrillation (AF) recurrence after catheter ablation. Colchicine did not prevent atrial arrhythmia recurrence at 2 weeks (31% versus 32%; hazard ratio [HR], 0.98 [95% CI, 0.59–1.61];P=0.92) Circulation: Arrhythmia and Electrophysiology, Ahead of Print. 2.02];P=0.89). 1.99];P=0.55).CONCLUSIONS:Colchicine
Dr. Smith's ECG Blog
JUNE 28, 2023
A prehospital 12-lead was recorded: There is a regular wide complex tachycardia. The computer diagnosed this as Ventricular Tachycardia. There is a wide complex regular tachycardia at a rate of 226. Toothache, incidental Wide Complex Tachycardia Could it be fascicular VT or Bundle Branch VT ( i.e., idiopathic VT )?
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. It is not atrial fibrillation. The rhythm is indeed irregularly irregular, so atrial fibrillation must be considered. Multifocal Atrial Tachycardia 2. Here is the ECG: What do you think?
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