Dr. Smith's ECG Blog

JUNE 11, 2023

The differential of wide complex irregularly irregular includes: polymorphic VT, atrial fibrillation with WPW, atrial fibrillation with other aberrancy. Thus, the patients rhythm is atrial fibrillation with WPW. With that in mind, how would you proceed with treatment?

Tachycardia 98

Tachycardia Atrial Fibrillation Chest Pain Blood Pressure 98

Dr. Smith's ECG Blog

APRIL 8, 2016

There is atrial fibrillation. Comments: STEMI with hypokalemia, especially with a long QT, puts the patient at very high risk of Torsades or Ventricular fibrillation (see many references, with abstracts, below). Could the dysrhythmias have been prevented? This subsequent ECG was recorded after the K was up to 2.2

STEMI 52

STEMI Myocardial Infarction Cardiac Arrest Arrhythmia 52

Dr. Smith's ECG Blog

MARCH 6, 2020

Patient course The patient was started on beta blockers and schedule for an electrophysiologic study. 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.

Heart Failure 52

Heart Failure Tachycardia Atrial Flutter Cardiomyopathy 52

Dr. Smith's ECG Blog

APRIL 8, 2015

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. Electrophysiologic studies were performed in selected patients only as clinically appropriate. Logistic regression was used to identify predictors for the risk-score system.

Arrhythmia 52

Arrhythmia Outcomes Risk Factors Chest Pain 52