Remove Atrial Fibrillation Remove Dysrhythmia Remove Echocardiogram
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WHAT EXACTLY IS AN ARRHYTHMIA?

Dr. Sanjay Gupta

In that sense, the term dysrhythmia is preferable because it does literally translate as a disturbance in normal rhythm which is exactly what it is meant to describe. Any unsolicited disturbance of the rate or rhythm can be termed a dysrhythmia and result in the heart beating less efficiently but only for the duration of the dysrhythmia.

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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

Hopefully a repeat echocardiogram will be performed outpatient. Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). Between 81-95% of life-threatening ventricular dysrhythmias and acute cardiac failure occur within 24-48 hours of hospitalization. 2300: QRS now within normal limits.

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Back to basics: what is this rhythm? What are your options for treating this patient?

Dr. Smith's ECG Blog

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. She had an echocardiogram which was normal. This includes sinus tachycardia, atrial fibrillation or flutter, MAT, and others.

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60-something with wide complex tachycardia: from where does the rhythm originate?

Dr. Smith's ECG Blog

Inferior MI results in scar tissue which is a likely source of a re-entrant ventricular dysrhythmia. Tele Monitor: Normal sinus rhythm throughout, no ectopic atrial or ventricular beats. Echocardiogram: Estimated left ventricular ejection fraction, lower limits of normal; 45-50%. This would be the likely source of the VT.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

A transthoracic echocardiogram showed an LV EF of less than 15%, critically severe aortic stenosis , severe LVH , and a small LV cavity. Aortic angiogram did not reveal aortic dissection. During the procedure, the patient had an increasing oxygen requirement and was intubated for airway protection and oxygenation.

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New Onset Heart Failure and Frequent Prolonged SVT. What is it? Management?

Dr. Smith's ECG Blog

Later, he underwent a formal echocardiogram: Very severe left ventricular enlargement (LVED diameter 7.4 Atrial Flutter is a type of atrial tachycardia which is "Macro-reentrant," meaning that the re-entry loop is quite large, encircling much of the atrium, and you can actually see that loop on the surface 12-lead as flutter waves.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Dysrhythmia, pacer), 4) valvular heart disease, 5) FHx sudden death, 6) volume depletion, 7) persistent abnormal vitals, 8) primary CNS event __ 3) Mendu ML et al. Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients Arch Intern Med 2009 Jul 27; 169:1299-1305.