Remove Atrial Fibrillation Remove Pacemaker Remove Tachycardia
article thumbnail

Ventricular Fibrillation, ICD, LBBB, QRS of 210 ms, Positive Smith Modified Sgarbossa Criteria, and Pacemaker-Mediated Tachycardia

Dr. Smith's ECG Blog

So it must be atrial fibrillation. Then I always look to see if the initial deflection of the QRS has a lot of voltage change per change in time (seen in tachycardias that are initiated from above the ventricle because the propagate through fast conducting purkinje fiber. Pacemaker mediated tachycardia!

article thumbnail

Regular Wide Complex Tachycardia. What to do?

Dr. Smith's ECG Blog

A patient in the ICU with significant underlying cardiac disease [HFrEF 30%, non-ischemic cardiomyopathy, LBBB s/p CRT-D (biventricular pacer), AVNRT s/p ablation a few yrs ago, hx sinus tachycardia while on max tolerated BB therapy] went into a regular wide-complex tachycardia after intubation for severe COPD exacerbation. What to do?

article thumbnail

PO-05-064 A UNIQUE CASE OF REPETITIVE NON-REENTRANT VENTRICULOATRIAL SYNCHRONY INDUCING RECURRENT ATRIAL FIBRILLATION

HeartRhythm

Repetitive Non-reentrant Ventriculoatrial Synchrony (RNRVAS) is a rare phenomenon seen in dual chamber pacemakers with atrial tracking.

article thumbnail

Incidental Arrhythmias During Atrial Fibrillation Screening With Repeat 7?Day Holter ECGs in a Hospital?Based Patient Population

Journal of the American Heart Association

BackgroundScreening for atrial fibrillation (AF) may reveal incidental arrhythmias of relevance. Among these were sinus node dysfunction in 14 patients (1.8%), AVB in 41 (5.2%), supraventricular tachycardia in 42 (5.3%), and ventricular tachycardia in 2 (0.3%). Journal of the American Heart Association, Ahead of Print.

article thumbnail

Increased Risk of Heart Rhythm Disruption After COVID-19

DAIC

Ioannis Katsoularis, image courtesy of Klas Sjöberg milla1cf Thu, 12/14/2023 - 09:23 December 14, 2023 — Individuals infected with COVID-19 are also at an increased risk of suffering from heart rhythm disturbances, such as atrial fibrillation.

COVID-19 111
article thumbnail

Cardiomatics guide: Analyzing arrhythmias made easy

Cardiomatics

Interpreting the waves and detecting abnormalities: Typically, the heart conducts electricity in a pathway starting in the sinoatrial node (SA), our heart’s “natural pacemaker”, located in the wall of the right atrium. Sinus tachycardia – sinus rhythm above 100 bpm is a sinus tachycardia.

article thumbnail

Arrhythmic Risk In Biventricular Pacing Compared with Left Bundle Branch Area Pacing: Results From The International LBBAP Collaborative Study (I-CLAS)

Circulation

Among 299 patients with CRT-pacemakers (BVP-111, LBBAP-188), VT/VF occurred in 8 patients in the BVP group vs. none in the LBBAP group (7.2% The occurrence of VT/VF was significantly lower with LBBAP compared with BVP (4.2% HR 0.46;95%CI 0.29-0.74;p<0.001). p<0.001). vs 0%;p<0.001). HR 0.46;95%CI 0.26-0.81;p=0.007).