Remove Atrial Flutter Remove Blood Pressure Remove Hemorrhage
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Young Man with a Heart Rate of 257. What is it and how to manage?

Dr. Smith's ECG Blog

Blood pressure was normal (109/83). He acknowledged that he had palpitations. but only when asked. He had a history heavy alcohol use. Here is his 12-lead: There is a wide complex tachycardia with a rate of 257, with RBBB and LPFB (right axis deviation) morphology.

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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

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Any ED systolic blood pressure less than 90 or greater than 180 mm Hg (+1) 4. It's complicated, but they derived a score based on these variables: 1. h/o heart disease (+1) 3.